基于ICD-10的临床诊断字典库应用研究

目的：规范临床诊断名称，提高ICD—10编码准确率，满足医院管理、医疗保险付费等多方面需求。方法：以ICD—10为基础，建立临床诊断字典库。结果：通过建立临床诊断字典库，进一步规范临床诊断名称，提高ICD-10编码准确率，优化编码人员的工作流程，保证了卫生统计信息的准确性，为中山市其他医疗机构提供一种切实可行的解决方案。

Study on the Application of Clinical Diagnosis Dictionary based-on ICD-10

Objective： To standardize the denomination in clinical diagnosis and to improve the accuracy when encoding ICD-10 so that the multiple aspects of such requirements as the statistics of the medical insurance fee in hospital administration are accordingly met. Methods： To set up a dictinary bank of the clinical diagnosis based on ICD-10. Results： By this means, the denomination in clinical diagnosis is further standardized, the accuracy when encoding ICD-10 is improved, the workflow of the encoding workers is optimized, and thus the accuracy of the heaUth statistical informatin is accordingly guaranteed.provide a practical solution for other medical institutions of Zhongshan City.