ICD-10是医院临床电子病历信息系统的重要组成部分,集医学、医学英语和分类规则于一身,是最初的原始医学资料加工成为信息的重要工具。在医院电子病历信息系统中采用ICD-10做为疾病诊断数据字典,是规范临床诊断名称,提高ICD-10编码准确率,优化编码人员的工作流程的有效保障。 ICD-10 is an important part of the hospital’s clinical electronic medical record information system. It integrates medical, medical English and classification rules. ICD-10 is an important tool for processing the original medical information into information. The use of ICD-10 as a disease diagnostic data dictionary in the hospital electronic medical record information system is an effective guarantee for standardizing clinical diagnosis names, improving the accuracy of ICD-10 encoding and optimizing the coding staff’s workflow.