中国病案
中國病案
중국병안
CHINESE MEDICAL RECORD
2013年
2期
8-9
,共2页
新版病案首页%诊断信息%手术信息
新版病案首頁%診斷信息%手術信息
신판병안수혈%진단신식%수술신식
Medical record home pages%Diagnosis information%Operation information
按照卫生部第三次对住院病案首页进行的修订和公布的新病案首页模板及填写说明,试行新病案首页一个月,针对填写诊断和手术信息中的“入院病情”、“病理诊断”、“手术级别”和“切口愈合等级”进行解析以提高新病案首页填写的质量.充分理解新版病案首页的修改内涵,对更好的执行新版病案首页有促进作用.
按照衛生部第三次對住院病案首頁進行的脩訂和公佈的新病案首頁模闆及填寫說明,試行新病案首頁一箇月,針對填寫診斷和手術信息中的“入院病情”、“病理診斷”、“手術級彆”和“切口愈閤等級”進行解析以提高新病案首頁填寫的質量.充分理解新版病案首頁的脩改內涵,對更好的執行新版病案首頁有促進作用.
안조위생부제삼차대주원병안수혈진행적수정화공포적신병안수혈모판급전사설명,시행신병안수혈일개월,침대전사진단화수술신식중적“입원병정”、“병리진단”、“수술급별”화“절구유합등급”진행해석이제고신병안수혈전사적질량.충분리해신판병안수혈적수개내함,대경호적집행신판병안수혈유촉진작용.
According to the 3rd revised new edition of home pages and its introduction distributed by Ministry of Health ,the new edition has been put into use for one month .This article analyzed how to improve the filling in quality of home pages from as -pects such as admitting condition of ‘illness’ ,‘pathological diagnosis’ ,‘operation grade’ and ‘incision and healing grade’ when fill-ing in the diagnosis and operation information .With a better understanding of the modification of the new edition of medical record home pages will promote smoothly carring out of the new edition home pages .
