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| 瘢痕子宫诊断在不同病例中的疾病编码 | |
| 引用本文： | 钟倩君,古莲香. 瘢痕子宫诊断在不同病例中的疾病编码[J]. 中国病案, 2013, 0(9): 42-43 |
| 作者姓名： | 钟倩君 古莲香 |
| 作者单位： | [1]深圳市坪山新区妇幼保健院信息科,深圳市518122 [2]深圳市龙岗区人民医院信息科,深圳市518172 |
| 摘 要： | 通过临床实例分析探讨相同的疾病诊断瘢痕子宫,在不同的病例中有不同的疾病编码.剖宫产术后瘢痕子宫,再次妊娠经阴道分娩编码于O75.7;剖宫产术后瘢痕子宫,再次妊娠在规律宫缩,宫口已开时,行剖宫产分娩应编码于O65.5;剖宫产术后瘢痕子宫,再次妊娠未进入产程进行二次剖宫产分娩,编码于O34.201;剖宫产术后瘢痕子宫,作为次要诊断的术后遗留下的疾病,编码于N85.8.编码人员对瘢痕子宫疾病分类时,必须根据了解既往史、发病情况、治疗过程及按照国际疾病分类原则给予编码,才能准确无误. |
| 关 键 词： | 瘢痕子宫 ICD-10编码 案例分析 |
International Classification of Diseases of Scar Uterus Diagnosis under Different Cases |
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| Zhong Qianjun,Gu Lianxiang. International Classification of Diseases of Scar Uterus Diagnosis under Different Cases[J]. Chinese Medical Record, 2013, 0(9): 42-43 | |
| Authors: | Zhong Qianjun Gu Lianxiang |
| Affiliation: | 1Information Department of Maternal and Child Health Care Hospital of Pingshan New District, Shenzhen 518122, Guangdong Province, China; 2Information Department of People＇ s Hospital of Longgang District, Shenzhen 518172, Guangdong Province, China) |
| Abstract: | The same disease diagnosis of scar uterus has different disease coding in the different cases. Scarred uterus after cesarean section re-pregnancy vaginal delivery is coding in 075.7 ; Scarred uterus after cesarean section re-pregnancy regular contractions uterine orifice open cesarean delivery is coding in 065.5 ; Scarred uterus after cesarean section re-pregnancy without entering labor cesarean delivery is coding in O34.201 ; Scarred uterus after cesarean section as a secondary diagnostic and sequela after surgery is coding in N85.8. Coders should know past medical history, morbidity, and therapeutic process and ensure accurate according to the principle of the international classification of diseases coding. |
| Keywords: | Scarred uterus ICD-10 coding Case analysis |
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