子宫肌瘤病理学分型与ICD-10形态学编码的关系

The Relationship between Pathology Classification of Fibroid and ICD-10 Morphology Coding

目的根据子宫肌瘤的病理分型,探讨子宫肌瘤的ICD-10形态学编码,为ICD-10肿瘤形态学编码提供一种有效的方法。方法查阅妇科肿瘤病理学关于子宫肌瘤的病理学分型和ICD-10有关于子宫肌瘤的形态学编码分型,找出二者之间的对应关系,通过病理分型得出子宫肌瘤的ICD-10形态学编码。结果良性子宫平滑肌瘤的病理分型共分11种,其中五种病理学分型和ICD-10形态学编码的分型完全相同,另外六种病理学分型与ICD-10的形态学编码并无直接对应关系。我们在病案首页录入中注明其具体的病理学亚型。结论子宫肌瘤的病理学分型与ICD-10形态学编码存在部分对应关系,通过其病理分型直接得出部分ICD-10形态学编码。无直接对应关系的部分可以通过另加摘要信息进行ICD-10形态学编码。

Objectives According to pathology classification of fibroid, this article discusses ICD-10 morphology coding of fibroid for providing an effect method for ICD-10 tumor morphology coding. Methods Looking up for gynecology tumor pathology about pathology classification of fibroid and looking up for ICD-10 about morphology coding classification of fibroid, finding out the relevant relationship between them. Through pathology classifi- cation, we can know the ICD-10 morphology coding of fibroid. Results The pathology classification of benign uterine leiomyoma are 11 kinds, in which there are 5 kinds of pathology classification are identical with the classification of ICD-10 morphology coding, the rest of 6 kinds pathology classification do not have direct correspond relationship with morphology coding of ICD-10. We mark out its concrete sub-type of pathology during front page of medical records entering. Conclusions It＇s found out that pathology classification of fibroid and morphology coding of ICD-10 exists partial correspond relationship. We can get partial morphology coding of ICD-10 through its pathology classification. Through additional information, the part of non-direct correspond relationship can get ICD-10 morphology coding.