目的 研究CCHI与ICD-9-CM-3对接过程中发现的问题,总结对接经验,梳理对接方法 .方法按照CCHI与ICD-9-CM-3各自的名称 、内涵及操作流程,以及耗材投入量 、手术技巧及手法等对接顺序和对接节点,进行对接相关研究.结果 总结出对接的基本原则及操作方法,建立了电子对接平台,根据医院HIS系统设置了输入及输出接口,达到了对接目的.结论 CCHI与ICD-9-CM-3分类对接过程中,需考虑对准率 、ICD-9-CM-3项目内涵标准控制 、CCHI的同类型对接 、一对多情况下的主次手术系数 、对接体系标准的制定等问题.

Objective To use the technology difficulty and the degree of risk assignment in the Chinese Classification of Health Inventions (CCHI) for performance appraisal for the departments and doctors in hospital to provide evidence for post allowance distribution.Methods A comparison table was set up for the operation items of CCHI and the diagnosis and treatment items in doctor's advice.The evaluation scores of the departments and doctors were calculated and evaluated from the assignment values for technology difficulty and the degree of risk in CCHI.Conclusion The distribution of the critically ill scores of the departments and doctors showed an obvious regularity,which can be used as an identification method for critical technology.The comparison between the CCHI and the HIS still existed some difficulties,which could affect the application of this method to a certain extent.

Objective Identification of patients with miscellaneous complicated disorders and critical diseases has always been the focus of hospital administrators.Due to the difficulty in collecting and quantifying the characteristics of patients with miscellaneous complicated disorders and critical diseases, there is still a lack of convincing solutions.Methods A checklist was set up to link the diagnosis and treatment projects of CCHI to the doctor`s advice projects from the price table of hospital HIS.The technical difficulties and the degree of risk of CCHI were assigned values based on the definitions in CCHI and taken as the indirect parameters to evaluate the difficult and critical diseases.The parameters were calculated to find the methods to identify the difficult and critical diseases.Results Several methods were used for calculation.The scores of the miscellaneous complicated disorders and critical diseases in the internal medicine department and surgical department were calculated by the max score method, The overall scores of the cardiovascular department of internal medicine and the neurosurgery department were 95.6 and 89.9 on average and the degrees of miscellaneous complicated disorders and critical diseases were higher.Neurology department averaged 56.8 with a relatively lower degree of miscellaneous complicated disorders and critical diseases.Conclusion The recognition rate obtained by the max score method is slightly higher, and the comprehensive score of miscellaneous complicated disorders and critical diseases presents obvious regularity in its distribution.It can be used as a method to identify the miscellaneous complicated disorders and critical diseases.The difficulties in comparing the diagnosis and treatment projects of CCHI and HIS may, to some extent, affect the application of this method.