目的 研究手术与操作分类运维机制,为医院病案统计人员提供快捷、权威、持续的信息支持。 方法 将维基技术用于ICD-9-CM-3的编码及咨询,构建开放式垂直型专家维基系统,设计或优化问答机制、仲裁机制、用户权限和信息安全机制。 结果手术与操作分类的维基运维机制可以节约病案统计人员查找ICD-9-CM-3和其他相关信息的时间,引导自助答疑和编码讨论,从而把编码专家从大量“浅知识”和同一编码问题的反复回答中解放到“深知识”和编码仲裁这边来。 结论手术与操作分类运维机制,以维基技术为平台,为医院病案统计人员为主体的适用对象提供了具有便捷性、权威性、开放性、协作性、体系性的国际疾病分类百科全书,促进了“浅知识”向“深知识”传递和“隐性知识”与“显性知识”的相互转化,适宜于在卫生信息领域推广。

Objective To research the classification and grading management of operations and procedures on the basis of wiki technology, and to provide quick, authoritative information and continuous support for the hospital medical record statistical personnel. Methods The wiki technology was applied to the ICD-9-CM-3 to build vertical open expert wiki system, to design or optimize the Q&A mechanism, the arbitration mechanism and Information security mechanism, giving properly wiki user permission to specialist, coder, medical staff, knowledge administrator. Results Operational mechanism based on the platform of International classification of diseases can save time to find out the dates of the unknown code and other related information for medical record statistical personnel, and guide the self-help encoded answering questions and discussion, so that the coding experts can change the substance from repeated answer of a large number of ″shallow knowledge″ and the same coding problems to the ″deep knowledge″ and coding in the arbitration. Conclusion Under the technical support of wiki mechanism, classification and grading management of operations and procedures provides a convenient, authoritative , open, collaborative and systematic encyclopedia of international classification of diseases, and promotes transformation from ″shallow knowledge″ to ″deep knowledge″ and ″tacit knowledge″ to ″explicit knowledge″, which is suitable for promotion in the field of health information.