摘要
阐述恶性肿瘤主要诊断选择模块的开发背景,设计在电子病历系统中嵌入恶性肿瘤主诊编码选择模块,介绍设计依据、原则和思路,分析操作流程和模块功能,通过实例指出该模块能够协助临床医师正确填写恶性肿瘤患者相关诊断信息,更好地为临床、科研和管理服务。
The paper elaborates the devolopment background of malignant tumor main diagnosis ICD selection module, embeds this module into Electronic Medical Records (EMR) ystem, introduces design basis, principles and ideas, analyzes the operation process and module functions. It also points out that this module could assist doctors to fill in the diagnostic information of malignant tumor patients, provide better services for clinical, scientific research and management through examples.
出处
《医学信息学杂志》
CAS
2015年第6期68-71,87,共5页
Journal of Medical Informatics
关键词
恶性肿瘤
主诊选择
疾病分类代码
编码原则
模块设计
Malignant tumor
Selection of main diagnosis
Classification of diseases code
Coding principle
Module design