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规范烧伤疾病诊断和编码是提高烧伤病案质量的有效方法。本文根据烧伤外科疾病的特点,提出了烧伤疾病诊断应由烧伤诊断、烧伤并发症诊断和并存疾病诊断三部分组成,并结合实例对如何进行烧伤疾病的诊断书写、主要诊断的选择、ICD-10编码方法进行了详尽说明。
Regulating burn disease diagnosis and coding is an effective way to improve the quality of burn records. Based on the characteristics of burns and surgical diseases, this paper proposes that the diagnosis of burn disease should be made up of three parts: burn diagnosis, burn complication diagnosis and co-existence of disease diagnosis. Combining with the examples, how to make the diagnosis and writing of burn disease, the choice of main diagnosis, ICD-10 The coding method is described in detail.