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一、资料来源 全部资料均来源于我院1996年1月—2000年12月出院的精神病患者病案。 二、存在问题 (一)出院诊断名称书写不规范,不符合ICD要求:一是诊断不详,如入院诊断精神分裂症,经过几个月的治疗,出院诊断仍为精神分裂症。这样既不规范,又没有明确精神分裂症的类型;二是出院诊断不明确,出现待排及问号,无法确定诊断编码及疾病分类,如抑郁症,没有分清是情感性精神病(抑郁型),还是神官能性抑郁或是其它抑郁。
I. Sources of data All the data come from the medical records of patients discharged from the hospital from January 1996 to December 2000 in our hospital. Second, there are problems (A) the name of discharge diagnosis is not standardized, does not meet the ICD requirements: First, the diagnosis is unknown, such as admission diagnosis of schizophrenia, after several months of treatment, discharge diagnosis is still schizophrenia. This is neither normative nor does it clarify the type of schizophrenia; the second is that the diagnosis of discharge is unclear, there are waiting lists and question marks, and it is impossible to determine the diagnosis code and disease classification, such as depression, no distinction is sentimental psychosis (depression type), It is still a functional depression or other depression in God.