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我院是以骨伤科为主的全国示范中医院,拥有近1200张床位,其中骨伤科的病人占60%,尤其是车祸所致的骨折病例,骨折和损伤并非单一,表现为“多处”和“多发”的复合性损伤。为了提高疾病诊断编码的准确性,保证病案管理和统计数据的质量,要求临床医师配合把好疾病诊断书写质量关,而
Our hospital is a model national hospital centered on orthopaedics and traumatology. It has nearly 1200 beds, 60% of which are patients with orthopaedic trauma. The fractures caused by a car accident are not single, and the fractures and injuries are not unique. “Complex” and “multiple” injuries. In order to improve the accuracy of disease diagnosis codes and ensure the quality of case management and statistical data, clinicians are required to cooperate with the writing quality of good disease diagnosis.