The "T/CHIA 001-2017 Surgery, Operation Classification and Code" group standard approved by the China Health Information and Health Medical Big Data Society (formerly the China Health Information Society) was released recently and will be officially official on January 1, 2018. Implementation.

Since the 1990s in China, ICD-9-CM-3 (International Classification of Clinical Classifications, Volume 3) has been used as the filling standard for surgical and operational classification codes on the front page of inpatient medical records. It has been applied for nearly 30 years in medical and health care. Services, medical security and other departments have played an important role in the collection, collation, exchange and analysis of surgical and operational information of discharged patients.

In order to meet the requirements of medical reform and hospital management to refine the classification of clinical information, and strengthen the unified management of coding, the National Health and Family Planning Commission Statistical Information Center organized the expansion code revision of the surgical operation code in 2015. On the basis of collecting and arranging the medical records of thousands of medical institutions, taking into account the needs of clinical, medical administration and DRGs, the 4-digit code of ICD-9-CM-3 is expanded into a 6-digit code under the original classification framework. The health care and family planning department's clinical pathways, hospital reviews, key disciplines, and some surgical and operational items that require network direct reporting make it more suitable for China's applications; designed a breakdown of available medical institutions to ensure that all operations and operations are coded. Can be edited, can be divided into categories, in line with the characteristics of the classification system. Surgery, operation classification and code cover all categories, sub-headings and breakdowns of ICD-9-CM-3. Combined with the actual situation of clinical and medical management, it has stored nearly 9000 surgical and operation names.

As a supporting standard of GB/T 14396-2016 disease classification and code, this standard is an important part of China's health information standard system. It regulates the classification and coding standards of surgical and operational data of various medical and health institutions in China. As the main tools for surgery, operation information processing, retrieval and statistics, medical institutions and medical insurance departments have laid a solid foundation for the comprehensive realization of the standardized collection of health information data in China, the standardized management of clinical diagnosis and treatment data, the improvement of statistical data quality, and the promotion of medical health big data application development. basis. (National Health Planning Commission)

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