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关于肿瘤编码的几点体会
引用本文:谢锦玲.关于肿瘤编码的几点体会[J].中国病案,2012,13(8):32+27-32,27.
作者姓名:谢锦玲
作者单位:广东东莞市人民医院病案室,东莞市,523000
摘    要:目的探讨肿瘤编码的正确方法,尽量避免和减少肿瘤的编码错误。方法在工作中认真阅读病案特别是病理诊断,密切关注和及时掌握不断发现的新肿瘤、新名称,并注意日常工作的经验总结与积累,按照ICD 10分类原则进行编码。结果根据肿瘤疾病的实际情况选择正确的肿瘤编码。结论编码员不仅要掌握ICD 10编码的基本原则,而且要掌握丰富医学、临床知识,不断拓宽视野,关注和了解医学发展的最新动态,才能真正将医师所描述的各种肿瘤疾病通过疾病编码体现出来,从而避免或降低误码率。

关 键 词:病案管理  肿瘤  编码

Some Experience about the coding of tumours
Xie Jinling.Some Experience about the coding of tumours[J].Chinese Medical Record,2012,13(8):32+27-32,27.
Authors:Xie Jinling
Institution:Xie Jinling,Department of Medical Record of Dongguan People’s Hospital,Guangdong Province 523000, China
Abstract:Objective To investigate the right method of the coding of tumours and avoid mistakes.Methods Read medical record expecially the pathological diagnosis,pay close attention to the new names of tumours and accumulate experience in daily work,conduct the coding of tumours according to the principles of classification in ICD-10.Results choosing the right coding of tumours according to the different situations of the diseases,. Conclusion It is necessary for the coders to acquire the principles of classification in ICD-10,as well as abundant medical knowledge.Only through broaden horizon and acquaint the newest state of the development of medical science can we reflect the right kind of tumours which described by doctors through the coding,thus decrease and avoid the incidence of error coding.
Keywords:Medical record management  Tumours  Coding
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