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诊断相关分组-预付费制度的实施,疾病分类编码的准确与否直接影响医院病案统计资料的准确性,影响医疗、教学、科研资料检索的准确性,影响医疗保险预付费(DRGS-PPS)健康发展。影响健康状态和与保健机构接触的因素Z编码在原有规则中,是最后分类章,做主要诊断的病例不算转归,使用少,现在强调实际应用。通过对Z编码知识的回顾性的学习和分析,探讨在实际工作中将Z编码原则与病案首页诊断、具体病情、医疗信息有效的结合,采用Z编码中相应类目进行分类,提高编码的准确性,更好地为医疗科研服务,为医院管理提高参考资料,维护医院的经济利益和医务人员及患者的权益,避免纠纷。
The diagnosis related grouping - the implementation of the prepaid fee system, the accurate classification of the disease classification code, directly affects the accuracy of hospital medical record statistics, affects the accuracy of medical, teaching and research data retrieval, and affects the health DRGS-PPS development of. Factors Affecting Health Status and Contact with Health Care Institutions Z Coding In the original rules, it was the final classification chapter. Cases that did major diagnosis were not attributable and used less, and the emphasis is now on practical application. Through the retrospective study and analysis of knowledge of Z coding, this paper discusses the combination of Z coding principle and the first page of diagnosis, specific condition and medical information in practical work, classifies the corresponding categories in Z coding and improves the accuracy of coding To better serve medical research, improve reference materials for hospital management, safeguard the economic interests of hospitals and the rights and interests of medical personnel and patients, and avoid disputes.