الدرس العملي الثاني :كيف نستخدم معايير الترميز الصحي الأسترالية

 

How to use the ACS

Standards in this document are categorised by site and/or system according to the specialty to which the diagnosis or procedure relates.

For example,

the standard on 'gastroenteritis' is in Chapter XI, Digestive System, even though the standard includes discussion of code A09 Diarrhoea and gastroenteritis of presumed infectious origin which appears in Chapter I,

 Certain infectious and parasitic diseases of the Disease

Tabular List of ICD-10-AM (Volume 1).

Operations and procedures are also categorised by site.

For example,

'tonsillitis' is discussed in Chapter 8, Ear, Nose, Mouth and Throat (ENMT). Any procedures which can be performed on many sites are included in the 'Procedures' chapter.

A procedure

which involves adjacent sites is categorised into one of the two applicable chapters and should be referenced in the index in the first instance. For example, 'Skull base surgery' involves ENT, plastic and neurosurgeons and is discussed in Chapter 6, Nervous System.

The term 'clinician' is used throughout the document and refers to the treating medical officer but may refer to other clinicians such as midwives, nurses and allied health professionals.

In order to assign a code associated with a particular clinician's documentation, the documented information must be appropriate to the clinician's discipline

ربما يكون من المفيد ترجمة هذا الدرس للعربية حتي تعم الفائدة            .