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[一级和二级干预——手术记录中的一个概念]

[Primary and secondary interventions--a concept in surgical documentation].

作者信息

Klempnauer J, Neumann J

机构信息

Klinik für Abdominal- und Transplantationschirurgie, Medizinischen Hochschule Hannover.

出版信息

Chirurg. 1994 Sep;65(9):801-3.

PMID:7995090
Abstract

Nowadays systematic documentation of surgical procedures is absolutely necessary in all departments of surgery and will soon be required by law. Therefore code systems are essential. Amongst numerous systems the ICPM-GE classification has been chosen as basis. In the department for abdominal and transplantation surgery at Hanover Medical School the ICPM-GE classification has been extended by a concept of coding main and suboperations. This concept considers the fact that in an individual patient the surgical procedure may consist of different and standardized suboperations. This concept widens and simplifies the possibility of documentation considerably.

摘要

如今,手术程序的系统记录在所有外科科室中绝对必要,并且很快将受到法律要求。因此,编码系统至关重要。在众多系统中,ICPM-GE分类已被选为基础。在汉诺威医学院腹部与移植外科,ICPM-GE分类通过主手术和子手术编码概念得到了扩展。该概念考虑到在个体患者中,手术程序可能由不同的标准化子手术组成。这一概念极大地拓宽并简化了记录的可能性。

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