9.5. Standards for coding

Introducere 

Aceste  standarde de codificare clinică au fost   scrise  având ca obiectiv de bază satisfacerea completă a  convenţiei   de codificare conform cu CIM-10 AM.



            Aprecierea  modalităţilor variate de folosire a datelor despre pacienţi colectate a fost trecută pe plan secundar. Probleme cum sunt alocarea DRG, cercetarea şi planificarea sunt ţinte luate în consideraţie după ce solicitarea de codificare precisă CIM-10-AMa fost satisfăcută.

Standardele de Codificare Australiene au fost elaborate de către Centrul Naţional de Clasificare al Sănătăţii (NCCH), Sydney, Universitatea Sydney. NCCH aduce la cunoştinţă cu gratitudine importanta contribuţiei la acest volum prin aplicarea lor de către codificatorii clinici şi personalul medical, grupurile medicale şi Comitetul Consultativ de Standardizare a Codificării (CSAC)1. Standardele de Codificare au fost elaborate pornind de la Standardele de Codificare Australiene, prin modificarea şi adaptarea lor la realităţile practicii medicale din România.

Scop 

''Se folosesc pentru a clasifica bolile şi alte probleme de sănătate, fiind folosite atât pentru înregistrările stărilor vitale, cât şi pentru certificatele de deces. Permit depozitarea şi regăsirea unor informaţii despre unele diagnostice folosite în scop clinic şi epidemiologic.  ''

Oferă baza pentru unele compilaţii a statisticilor naţionale de morbiditate şi mortalitate a tărilor membre a Organizaţiei Mondiale a Sănătăţii   ''Se mai folosesc pentru deciziile de rambursare şi alocare a resurselor pe care le face o ţară. '' <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt"> Clasificare 

<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt"> Clasificarea internaţională a bolilor- revizia a 10-a.

<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt"> Clasificarea bolilor se face în mai mult de 14 coduri diferite ce permit subclasificarea în multe alte noi diagnostice.

<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt"> Clasificare pe capitole 

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in">'''<span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">Se face în ordine alfabetica! '''<span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">Capitolele A şi B se refera la anumite tulburări infecţioase şi parazitice <span style="font-size:12.0pt;line-height:115%; font-family:"TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">Capitolele C și D: Tulburări neoplasmice, ale sângelui și organelor care formează sângele și anumite tulburări ale mecanismului imunitar <span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">Capitolul E: Tulburări endocrine, nutriționale și metabolice <span style="font-size:12.0pt;line-height:115%;font-family: "TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">Capitolul F: Tulburări mentale și comportamentale <span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">Capitolul G: Tulburări ale sistemului nervos <span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">Capitolul H: Tulburări ale ochiului, adnexa, urechii și procesului mastoid <span style="font-size:12.0pt;line-height:115%; font-family:"TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">Capitolul I: Tulburări ale sistemului circulator <span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">Capitolul J: Tulburări ale sistemului respirator <span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">Capitolul K: Tulburări ale sistemului digestiv <span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">Capitolul L: Tulburări ale pielii și țesutului subcutanat <span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">Capitolul M: Tulburări ale sistemului musculoscheletic și țesutului conjunctiv <span style="font-size:12.0pt;line-height:115%; font-family:"TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">Capitolul N: Tulburări ale sistemului genitourinar <span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">Capitolul O: Sarcină, naștere și postnatal <span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">Capitolul P: Anumite afecțiuni originare în perioada perinatală <span style="font-size:12.0pt;line-height:115%;font-family: "TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">Capitolul Q: Malformații, deformații și anormalități cromozomiale congenitale <span style="font-size:12.0pt;line-height:115%; font-family:"TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">Capitolul R: Simptome, semne și descoperiri anormale clinice și de laborator <span style="font-size:12.0pt;line-height:115%; font-family:"TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">Capitolele S și T: Răni, otrăviri și anumite alte consecințe ale cauzelor externe <span style="font-size:12.0pt;line-height:115%; font-family:"TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">Capitolele V, W, X și Y: Cauze externe ale morbidității și mortalității <span style="font-size:12.0pt;line-height:115%; font-family:"TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">Capitolul Z: Factori care influențează starea de sănătate și contactul cu serviciile de sănătate

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"> Reguli de codificare a bolilor 

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in">

<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt"><span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"">Exista doua reguli principale de codificare a bolilor. Acestea vor fii prezentate mai jos pe scurt:

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="RO" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:RO;mso-bidi-font-weight:bold">Regula 1 <span lang="RO" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:RO">: Diagnosticul principal se pune dupa studiul bolnavului la iesirea acestuia din spital:

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span lang="RO" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:RO">Exemplu:

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span lang="RO" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:RO">Diagnostic admitere : Ascita ;           durere severa abdominala

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span lang="RO" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:RO">Diagnostic iesire : Carcinom ovar ;    ruptura diverticol de colon

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span lang="RO" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:RO">​    <span lang="RO" style="text-indent:-0.25in;font-size:12pt;line-height:115%;font-family:'TimesNewRoman',serif;">Regula 2 <span lang="RO" style="text-indent:-0.25in;font-size:12pt;line-height:115%;font-family:'TimesNewRoman',serif;">: Diagnostice anterioare care nu au legaturi cu episodul ce necesita îngrijire, se codifica si diagnosticheaza numai daca introduc o  <span style="text-indent:-0.25in;font-size:12pt;line-height:115%;font-family:'TimesNewRoman',serif;">nota <span lang="RO" style="text-indent:-0.25in;font-size:12pt;line-height:115%;font-family:'TimesNewRoman',serif;"> de nesiguranta asupra diagnosticului principal sau pot influenta într-un sens nefavorabil boala pentru care bolnavul este internat.

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span lang="RO" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:RO"> Exemplu:

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span lang="RO" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:RO">Diagnostic principal : Pneumonie lobara comnitara J18.1

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span lang="RO" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:RO">Diagnostic secundar: Antecedent personal cancer de san Z85.3

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"> Anumite patologii si codurile acestora 

<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt"><span lang="VI" style="font-size:12.0pt; line-height:115%;font-family:"TimesNewRoman","serif";mso-ansi-language:VI">Boala ischemică <span lang="VI" style="font-size:12.0pt;line-height:115%; font-family:"TimesNewRoman","serif";mso-ansi-language:VI"> a inimii este clasificată la categoriile I20–I25 după cum urmează: <span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">Angina pectorală (I20) <span style="font-size: 12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"">Infarct miocardic acut (I21) <span style="font-size:12.0pt;line-height:115%; font-family:"TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"">Infarct miocardic ulterior (I22) <span style="font-size:12.0pt;line-height: 115%;font-family:"TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="IT" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:IT">Unele complicaţii curente consecutive infarctului miocardic acut (I23) <span style="font-size:12.0pt;line-height:115%; font-family:"TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="IT" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:IT">Alte boli ischemice acute cardiace (I24) <span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">Cardiopatia ischemică cronică (I25) <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif""> <span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"">

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<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt">   Virusul Hiv 

<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt"><span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"">În acest standard referinţele la ‘B20-B24’ exclud codul B23.0 Sindrom acut al infecţiei HIV.

<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt"><span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-bidi-font-weight:bold">            Evoluţia bolii <span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt"><span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-bidi-font-weight:bold">             <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">Infecţia HIV urmează un număr de stadii/faze, fiecare având nivelul propriu de gravitate şi simptome. Persoanele <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif""> <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">afectate de infecţia HIV vor urma deseori acelaşi tipar (adică ei sunt mai întâi diagnosticaţi ca având anticorpi <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif""> <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">pozitivi HIV, iar cum boala progresează, evoluează şi ei la următorul nivel de gravitate al bolii). Totuşi, nu este <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif""> <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">neobişnuit pentru infecţia HIV de a fi mai întâi diagnosticată atunci când deja s-a produs o complicaţie sau <span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif""> evoluţie.

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l1level1lfo2; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">Documentaţia stării HIV ar trebui să fie întotdeauna codificată chiar dacă nu se întâlnesc criteriile pentru <span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif""> diagnostic adiţional.

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l1level1lfo2; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">R75 Rezultat de laborator al virusului imunodeficitar uman [HIV] (adică rezultat <span lang="VI" style="font-size:12.0pt; line-height:115%;font-family:"TimesNewRoman","serif""> <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">nedeterminat/neconcludent privind testarea serologică) <span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l1level1lfo2; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"">B23.0 Sindromul acut al infecţiei HIV

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l1level1lfo2; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:VI">Z21 Virus asimptomatic al imunodeficienţei umane [HIV] starea infecţiei (adică starea infecţiei, HIV <span lang="VI" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif""> <span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"">pozitiv nespecificat altminteri)

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l1level1lfo2; tab-stops:list.5in"><span style="font-size:12.0pt; line-height:115%;font-family:"Wingdings2";mso-fareast-font-family:"Wingdings2"; mso-bidi-font-family:"Wingdings2"">   <span lang="PT-BR" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"; mso-ansi-language:PT-BR">B20–B24 Virusul imunodeficitar uman [HIV] boala <span lang="PT-BR" style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif""> <span style="font-size:12.0pt;line-height:115%;font-family:"TimesNewRoman","serif"">

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<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in">

<p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in; margin-left:.5in;margin-bottom:.0001pt;text-indent:-.25in;mso-list:l0level1lfo1; tab-stops:list.5in">