According to the official website of the National Healthcare Security Administration, it has recently issued the "Guidelines for the Establishment of Digestive System Medical Service Price Projects (Trial)" and the "Guidelines for the Establishment of Hernia and Breast Cancer Medical Service Price Projects (Trial)", aiming to promote medical institutions to improve the quality of diagnosis and treatment and enhance the standardization of pricing and fees. Standardize and integrate current projects, promote standardized fee based foods from entering the mouth to being excreted, and rely on the healthy operation of the digestive system at every stage. Due to the numerous organs and complex networks involved in the digestive system, the treatment techniques involved are also diverse and intricate. This project proposal guideline is based on clinical practice needs, and has implemented a scientific project proposal logical framework based on service output through multiple rounds of expert argumentation and extensive solicitation of opinions. For example, some patients with swallowing difficulties need to undergo gastrointestinal pressure measurement, which was originally divided into anorectal pressure measurement, esophageal pressure measurement, 24-hour gastrointestinal pressure monitoring, Oddi's sphincter pressure measurement, gastric pyloric duodenal pressure measurement, etc. This project guideline integrates them into the "gastrointestinal pressure measurement fee" and unifies the pricing unit as "item". Different pressure measurements can be charged according to this project, and it is also clarified that "the same route and time operation can only be charged once". This not only fully preserves the technical connotation of diagnosis, treatment monitoring, and objective evaluation of gastrointestinal motility disorders, but also realizes standardized charging, significantly improves the compatibility of diagnosis and treatment projects, and provides a more scientific and reasonable billing solution for clinical practice. The data from the National Cancer Center shows that the incidence rate of digestive tract diseases in China is rising year by year. Gastric cancer, colorectal cancer and other digestive tract tumors rank among the top five in the incidence rate of cancer. Standardized treatment of related diseases is more important. Lymph node dissection is a common treatment method in surgery, especially in the treatment of tumors or infectious diseases. This operation helps to reduce the risk of tumor recurrence, clarify the pathological stage or improve the prognosis of patients. However, lymph node dissection is often performed simultaneously with other treatments, which has caused some controversy in the past fees. The project guidelines for this project separately list lymph node dissection and clarify that "extensive radical resection of malignant tumors" refers to combined multi organ resection, excluding lymph node dissection. Taking the "partial colon resection fee" for the treatment of colon cancer as an example, for patients with liver metastasis of colon cancer, a partial colon resection fee+malignant tumor radical resection (additional charge)+abdominal lymph node dissection fee can be charged, making the fee hierarchy clear and the responsibilities clear, providing clear guidance for clinical implementation. Distinguishing surgical difficulty and fully reflecting clinical value of hernia? Is it through organs or tissues in the human body? Weakness, defects, or pores formed by congenital or acquired factors? Common types include inguinal hernia, umbilical hernia, incisional hernia, etc. Due to factors such as the location and size of hernias, the difficulty of surgery varies greatly, and there are also differences in fees. The project proposal guide constructs a "conventional complex" classification pricing system, scientifically corresponds to the difficulty level of surgery, and fully reflects clinical value. For example, in the field of hernia repair, technically difficult situations such as huge hernias (hernia ring>12cm), embedded necrosis, combined ascites, recurrent hernias, multiple hernias, and marginal abdominal wall hernias are included in the complex hernia repair fee. For example, due to individual differences, some patients undergoing thyroidectomy may have their thyroid located behind the sternum, which limits the surgical field of view and even requires splitting the sternum for surgery. The difficulty and risk of the surgery increase significantly, and it is necessary to clearly distinguish between routine and complex billing standards. The conventional and complex classification fee models have broken through the limitations of traditional single pricing and reserved more interfaces for technological compatibility, achieving dynamic adaptation between clinical technological progress and price systems. (New Society)