新生儿疾病命名和分类规范化管理的建议

李茂军, 马娟, 邵肖梅, 吴青, 石伟, 胡燕生, 刘爱民, 陈昌辉

中国当代儿科杂志 ›› 2016, Vol. 18 ›› Issue (11) : 1059-1064.

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中国当代儿科杂志 ›› 2016, Vol. 18 ›› Issue (11) : 1059-1064. DOI: 10.7499/j.issn.1008-8830.2016.11.001
专家建议

新生儿疾病命名和分类规范化管理的建议

  • 李茂军1, 马娟1, 邵肖梅2, 吴青1, 石伟1, 胡燕生3, 刘爱民4, 陈昌辉1
作者信息 +

Suggestions for standardized management of nomenclature and classification of neonatal diseases

  • LI Mao-Jun1, MA Juan1, SHAO Xiao-Mei2, WU Qing1, SHI Wei1, HU Yan-Sheng3, LIU Ai-Min4, CHEN Chang-Hui1
Author information +
文章历史 +

摘要

疾病命名和疾病分类不仅与临床诊疗活动有关,还涉及医疗信息管理与交流、医疗费用支付、医疗保险赔付等领域。为规范临床医师的诊疗活动、病案记录和病案首页填报,本建议依据国际疾病命名法 (IND)和国际疾病分类 (ICD),阐述了普通的疾病命名、疾病分类的基本原则和方法;并针对临床实际问题,提出了新生儿这一类特殊人群的分类和新生儿疾病诊断的基本程序、书写规则和死亡诊断原则。

Abstract

Nomenclature and classification of diseases are not only related to clinical diagnosis and treatment, but also involved in the fields such as management and exchange of medical information, medical expense payments, and medical insurance payment. In order to standardize clinical physicians' diagnostic and treatment activities, medical records, and the first page of medical records, this article elaborates on the basic principles and methods for nomenclature and classification of diseases with reference to international nomenclature of diseases and international classification of diseases. Meanwhile, in view of the problems in clinical practice, this article proposes the classification of neonatal diseases, the basic procedure and writing rules in the diagnosis of neonatal diseases, and death diagnosis principles.

关键词

疾病命名 / 疾病分类 / 规范化管理 / 新生儿

Key words

Disease nomenclature / Disease classification / Standardized management / Neonate

引用本文

导出引用
李茂军, 马娟, 邵肖梅, 吴青, 石伟, 胡燕生, 刘爱民, 陈昌辉. 新生儿疾病命名和分类规范化管理的建议[J]. 中国当代儿科杂志. 2016, 18(11): 1059-1064 https://doi.org/10.7499/j.issn.1008-8830.2016.11.001
LI Mao-Jun, MA Juan, SHAO Xiao-Mei, WU Qing, SHI Wei, HU Yan-Sheng, LIU Ai-Min, CHEN Chang-Hui. Suggestions for standardized management of nomenclature and classification of neonatal diseases[J]. Chinese Journal of Contemporary Pediatrics. 2016, 18(11): 1059-1064 https://doi.org/10.7499/j.issn.1008-8830.2016.11.001

参考文献

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