CAJ | 학술논문

目的：研究手术与操作分类运维机制，为医院病案统计人员提供快捷、权威、持续的信息支持。方法将维基技术用于ICD-9-CM-3的编码及咨询，构建开放式垂直型专家维基系统，设计或优化问答机制、仲裁机制、用户权限和信息安全机制。结果手术与操作分类的维基运维机制可以节约病案统计人员查找ICD-9-CM-3和其他相关信息的时间，引导自助答疑和编码讨论，从而把编码专家从大量“浅知识”和同一编码问题的反复回答中解放到“深知识”和编码仲裁这边来。结论手术与操作分类运维机制，以维基技术为平台，为医院病案统计人员为主体的适用对象提供了具有便捷性、权威性、开放性、协作性、体系性的国际疾病分类百科全书，促进了“浅知识”向“深知识”传递和“隐性知识”与“显性知识”的相互转化，适宜于在卫生信息领域推广。
목적：연구수술여조작분류운유궤제，위의원병안통계인원제공쾌첩、권위、지속적신식지지。방법장유기기술용우ICD-9-CM-3적편마급자순，구건개방식수직형전가유기계통，설계혹우화문답궤제、중재궤제、용호권한화신식안전궤제。결과수술여조작분류적유기운유궤제가이절약병안통계인원사조ICD-9-CM-3화기타상관신식적시간，인도자조답의화편마토론，종이파편마전가종대량“천지식”화동일편마문제적반복회답중해방도“심지식”화편마중재저변래。결론수술여조작분류운유궤제，이유기기술위평태，위의원병안통계인원위주체적괄용대상제공료구유편첩성、권위성、개방성、협작성、체계성적국제질병분류백과전서，촉진료“천지식”향“심지식”전체화“은성지식”여“현성지식”적상호전화，괄의우재위생신식영역추엄。
Objective To research the classification and grading management of operations and procedures on the basis of wiki technology, and to provide quick, authoritative information and continuous support for the hospital medical record statisti-cal personnel.Methods The wiki technology was applied to the ICD-9-CM-3 to build vertical open expert wiki system, to de-sign or optimize the Q&A mechanism, the arbitration mechanism and Information security mechanism, giving properly wiki user permission to specialist, coder, medical staff, knowledge administrator.Results Operational mechanism based on the platform of International classification of diseases can save time to find out the dates of the unknown code and other related information for medical record statistical personnel, and guide the self-help encoded answering questions and discussion, so that the coding ex-perts can change the substance from repeated answer of a large number of″shallow knowledge″and the same coding problems to the″deep knowledge″and coding in the arbitration.Conclusion Under the technical support of wiki mechanism, classification and grading management of operations and procedures provides a convenient, authoritative , open, collaborative and systematic encyclopedia of international classification of diseases, and promotes transformation from″shallow knowledge″to″deep knowledge″and″tacit knowledge″to ″explicit knowledge″, which is suitable for promotion in the field of health information.