论文部分内容阅读
目的为适应卫生部2012版病案首页病理诊断疾病编码的填写要求,探讨恶性肿瘤疾病编码系统的建立。方法针对当前国际疾病编码库、卫生部《疾病分类与代码(修订版)》存在的问题,探索适应临床需求的恶性肿瘤疾病编码系统。结果本构想所建立的完整的恶性肿瘤编码系统由解剖部位编码和新的形态学编码组成,其中新的形态学编码是指在卫生部《疾病分类与代码(修订版)》编码的基础上,增加了第6位数字编码,新的编码系统一共由10位数字或字符组合而成,如胃体中分化腺癌的完整编码为:C 16.2 M 8140/32,其中解剖部位编码为C 16.2(胃体),形态学编码为M 8140/32(中分化腺癌),其中增加了第6位编码数字“2”(表示中分化)。结论所建立的恶性肿瘤编码系统符合卫生部2012版病案首页对病理诊断的要求,适用于各种恶性肿瘤疾病的编码
Objective To meet the requirements of the Ministry of Health 2012 pathological home page pathological diagnosis of disease coding requirements, to explore the establishment of malignant tumor disease coding system. Methods To address the problems existing in the current international disease coding library and the Ministry of Health’s Disease Classification and Code (Revised Edition), and to explore a malignant tumor disease coding system that meets the clinical needs. Results The complete malignant tumor coding system established by this idea consisted of anatomical site coding and new morphological coding. The new morphological coding was based on the Ministry of Public Health’s code of disease classification and code (revised edition) An increase of the first six digits of the code, the new coding system consists of a total of 10 digits or a combination of characters, such as gastric body differentiated adenocarcinoma of the complete coding: C 16.2 M 8140/32, which anatomical part of the code for C 16.2 ( Corpus), morphologically encoded as M 8140/32 (moderately differentiated adenocarcinoma), with the addition of the 6th digit “ 2” (indicating moderate differentiation). Conclusion The established malignant tumor coding system meets the requirements of pathological diagnosis of the first page of the 2012 version of the Ministry of Public Health of the Ministry of Health and is applicable to coding of various malignant tumor diseases