ICD实验

医学信息学上机作业2

目的：

1.掌握编码，分类的规则

2.掌握查询ICD,ICD编码的原理

3.掌握SNOMED的编码原理

1）编码和分类

下列是关于卫生机构（组织）分类与代码的指引

下列各种医院的分类数据（还没分出大类），根据经验将医院按性质分类(总结出大类和子类），并赋予编码，写出编码的原则。最后输入到ACCESS中，形成医院代码数据库。提示：ACCESS数据库操作过程：

A．建立一个hospital数据表,通过设计视图为数据表建立以下字段：

编码（字符型，设置为必填字段）,名称(字符型,长度30) , 分类级别（整型）

将编码字段设为主键（即唯一标识段）

B．为hospital表输入数据。

C.为hospital表生成hospital窗体,实现界面输入。说明你编码的规则是：

编码规则：

编码分为三级，第一级为Ａ（综合），用一个字母表示，第二级为综合医院下分类，用两个数字表示，如中医综合医院为０１，则编码为Ａ０１，第三级为二级分类下的分类，用两个数字表示如儿童医院为０１，上级分类为专科０４，则儿童医院编码为Ａ０４０１。

2)ICD的查询

安装ICD软件，利用ICD查询器查询以下疾病对应的ICD码，ICD的组织方法

1．结核性气胸，经细菌学和组织学检查为阴性

ICD是：A16.054，组织方法：类目（A16，表示结核病）+亚目（A16.0，表示结核性气胸）+细目（病理）

2．肱骨良性肿瘤

ICD是：D16.001

3)思考题：给出ICD.MDB数据库，其中ICD表是ICD代码对应的中文，D,C,G表是

SNOMED的虚拟对应表。

1）假设某医院的医生书写病历的习惯如下（一般不会改变书写习惯），编写一段程序，将以下一段话的诊断结论提取出来并转变为ICD10的编码。

关键代码：（因为病例有一定的格式，所以可以使用指定起始位置之间字符串截

取的方法）

string a = richTextBox1.Text;

int start_position = a.IndexOf("：")+1 ;

string b = a.Substring(start_position);

textBox2.Text = b;//获取诊断病名结束

String conn = "Provider=Microsoft.Jet.OLEDB.4.0;Data Source=icd.mdb";

try

{

OleDbConnection connection = new OleDbConnection(conn);

string sql = "Select BM from ICD10 where MC='"+ Convert.ToString(textBox2.Text) + "'";

OleDbCommand cmd = new OleDbCommand(sql, connection);

connection.Open();

OleDbDataReader reader;

reader = cmd.ExecuteReader();

if (reader.Read())

{

textBox3.Text = reader.GetString(0);

}

reader.Close();

connection.Close();

}

catch {

throw (new Exception("对不起，没有找到你想要的记录，请使用规范的诊断书！"));

}

2009/4/1，张三染发后头皮红疹，发痒，诊断：染料引起的接触性皮炎。（病名）

2）利用病名，用数据库里SNOMED的D,G,C，T,M数据表来表达该诊断的意思，，SNOMED 最后的表达方式为病= 诊断D+连接词G+ 物品C

D0-10322 contact dermatitis due to cosmetic 可以自行组配为：

[D010200]+[GC001]+[C-52550]

=[contact dermatitis,NOS][due to][cosmetic]

[T-01000]+[M-4000]+[GC001]+[C-525501]

=[skin][inflammation][due to][pigmenting agent]

3）如果知道客户在界面输入了信息，例如，[T01000]+[M4000]+[GC001]+[C525501] 那请按以下按钮，就能显示出具体的英语意思。

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图2.1-25置“减淡工具”的主直径和硬度 用“减淡工具”涂抹球体的右下方向，做出“反光”的效果，如图2.1-26所示。 图2.1-26用“减淡工具”做出“反光”的效果 图2.1-27加上“反光”调子的球体

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