The medical record is divided into four types of ABCD. How is it divided?

In order to better classify and summarize medical records, the concept of quality management in the U.S. medical and health system architecture is incorporated into the organization system of medical records. It has gradually formed and developed into a modern medical record management system.

The guiding principle of the medical record grading system is mainly based on the diagnostic criteria of the patient's admission, in which the severity of the disease is the main reference index, and also combines the complexity of the disease, as well as the current situation, the development trend of prognosis, and even the content of what kind of treatment will be done.

At present, the general classification of medical records in clinical medical institutions is generally level four:

Type A:Generally, it refers to the fact that the disease is relatively simple, and the diagnosis is very clear, the development of the disease is also very stable, and in the visible diagnosis and treatment process, there is generally no emergency treatment, and it is basically a general inpatient;

Type B:The disease is relatively simple, but slightly more complex than type A. Moreover, the condition is relatively urgent and requires urgent treatment.

But even so, the patient's vital signs are relatively stable, and the prognosis is relatively certain and good.

Type C:Patients with this type of medical record generally have more complex conditions. As far as the diagnosis results are concerned, it may temporarily belong to the situation where there is no specific diagnostic opinion, that is, the diagnosis is unclear, or even if there is a clear diagnosis result, it is a difficult case with great difficulty, or there are more serious complications and poor prognosis;

Type D:This is one of the highest levels in the Level 4 medical record. This type of medical record generally belongs to patients who are critically ill and complex.

Such patients may have unstable vital signs, or have functional failure of important organs, and most of them require immediate emergency treatment. Their future diagnosis and treatment process may be more tricky, and it requires careful observation and attention by medical staff. In addition, most of the cases have a poor prognosis, or a very poor prognosis.

In short, the medical record grading system can more intuitively allow medical staff to carry out simple classification and management of patients, which is conducive to medical staff to focus on those cases that need to be dealt with urgently and avoid the occurrence of negligence.

The concept of medical quality management of case classification originated in the United States, and the guiding ideology is to classify patients according to the diagnosis at the time of admission, and comprehensively classify them according to the severity of the disease. The Medical Administration Department of the Qinghai Provincial Department of Health combined with the methods commonly used by domestic counterparts to classify the case classification criteria as: Type A:

General inpatients with simple disease, clear diagnosis, relatively stable condition, and no need for emergency treatment; Type B: The disease is simple, the condition is urgent and requires urgent treatment, but the vital signs.

Stable inpatients who are not in critical condition; Type C: The condition is complex, the diagnosis is unclear or difficult, and there are serious complications.

occurrence, prognosis.

Poor difficult cases; Type D: Difficult and critical cases with critical and complex conditions, unstable vital signs or failure of important organs, requiring emergency treatment.

It should be divided according to the severity of the disease. From A to D. The types of diseases range from simple to complex. Diagnosis ranges from definite to difficult and complex. Care ranges from general to focused. The grading system of medical records allows medical staff to provide better care for patients more intuitively.

It is divided according to the diagnostic criteria at the time of admission and the degree of illness. Type A refers to general inpatients with simple diseases; Type B refers to general emergency patients who require emergency treatment; Type C refers to difficult inpatients with complex conditions; Type D refers to critically ill patients.

The cases are divided into A, B, C, D according to the patient's illness, A must be relatively mild, nothing serious, B is slightly serious, C may have formed some tumors, D may be a serious disease.

It is classified according to the degree of the disease, whether it is serious or not, which is mainly differentiated by the hospital, and has nothing to do with us.

Summary. 1. Type A: i.e., general inpatients:

Patients with simple diseases and relatively stable conditions, such as cancer patients with simple conditions, are generally inpatient medical records. 2. Type B: that is, general emergency patients

Cases that require emergency treatment but have a simple disease. 3. Type C: that is, difficult inpatients:

Patients with complex diseases or complex conditions, or complex comorbidities, acute and chronic diseases with more serious conditions, are very difficult to diagnose, and the prognosis is poor, but patients who do not need to be rescued. 4. Type D: that is, critically ill patients

Those who are in critical condition, in danger of life at any time, and who have circulatory, respiratory, liver, kidney and other organ failures and need to be rescued.

1. Type A: that is, general inpatients: patients with simple diseases and relatively stable conditions, such as those with high tumors but simple diseases, are general inpatient medical records.

2. Type B: that is, general emergency patients: all cases that need emergency treatment but have simple diseases.

3. Type C: that is, difficult inpatients: patients with complex diseases or complex diseases, or complex comorbidities, acute and chronic diseases with serious acorn rulers, are very difficult to diagnose, and the prognosis is poor, but patients who do not need to be rescued.

4. Type D: that is, critically ill patients: those who are critically ill, in danger of life at any time, and who have circulatory, respiratory, liver, kidney and other organ failures and need to be rescued.

Hello! Pregnancy with hepatitis B, pregnancy with hepatitis B liver, oligohydramnios, which type of such cases?

Is it considered critical?

Cannot be classified as critical.

What about postpartum hemorrhage?

Difficult and complex, type C.

What about emergency cesarean section?

Are you a medical student? Do you want to do the question?

It's not a question. It's learning.

Well, it is recommended to turn over the textbooks of internal medicine diagnosis again, especially the ninth edition of the textbook, which can benefit people a lot.

The case classification criteria are divided into: type A: general inpatients with simple disease, clear diagnosis, stable condition, and no need for emergency treatment; Type B:

The disease is simple, the condition is urgent and requires urgent treatment, but the vital signs are still stable, and it is not a difficult and critical inpatient; Type C: difficult cases with complex conditions, unclear diagnosis or difficulty, serious complications, and poor prognosis; Type D: Difficult and critical cases with critical and complex conditions, unstable vital signs or failure of important organs, requiring emergency treatment.

P in the nursing diagnostic formula stands for the patient's health problem and t is the body temperature.