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为了适应和满足医学临床、教学、科研发展的需求,疾病分类法正不断地改进和完善,新的分类方法逐步取代旧的分类方法,从而大大地提高了病案的检索效率和使用价值。病案管理的改进成效如何,是直接影响医院分级管理进程的一个要素。为此,笔者根据我院现行的病案管理状况结合国际疾病分类_9(简称ICD_9)的优点及应用谈谈个人的粗浅认识。 1我院现行的疾病分类方法我院病案管理,从1988年开始进行疾病分类以来,现已给约2600种病种进行分类。其分类方法采用了国际疾病分类_9和中国疾病分类(简称(CCD)联合编码,即每张疾病索引卡上同时标上ICD_9编码
In order to adapt to and meet the needs of medical clinical, teaching, scientific research and development, the disease classification method is constantly improving and perfecting. The new classification method is gradually replacing the old classification method, which greatly improves the retrieval efficiency and use value of medical records. How effective the improvement of medical record management is directly affects the hospital’s hierarchical management process. For this reason, the author discusses the superficial understanding of individuals based on the current situation of medical records in our hospital combined with the advantages and applications of the International Classification of Diseases (ICD_9). 1 The current disease classification method in our hospital The medical record management in our hospital has classified about 2,600 disease types since the disease classification began in 1988. The classification method uses the international disease classification _9 and the Chinese disease classification (abbreviation) (CCD) joint coding, ie each disease index card is also marked with the ICD_9 code.