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WS 445.10-2014 English PDF

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WS 445.10-2014: Basic dataset of electronic medical record. Part 10: Home page of inpatient medical record
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Basic data

Standard ID WS 445.10-2014 (WS445.10-2014)
Description (Translated English) Basic dataset of electronic medical record. Part 10: Home page of inpatient medical record
Sector / Industry Health Industry Standard
Classification of Chinese Standard C07
Classification of International Standard 11.020
Word Count Estimation 27,233
Date of Issue 5/30/2014
Date of Implementation 10/1/2014
Quoted Standard GB/T 2261.1-2003; GB/T 2261.2-2003; GB/T 2261.4-2003; GB/T 2659-2000; GB/T 3304-1991; GB/T 4761-2008; WS 218-2002; WS 364.3-2011; WS 364.9-2011; WS 364.12-2011; WS 370-2012; WS 445.1-2013; ICD-9-CM-3; ICD-10
Regulation (derived from) State Health Circular [2014] No. 5
Issuing agency(ies) National Health and Family Planning Commission of the People's Republic of China
Summary This standard specifies the basic data set of hospital medical record data set metadata attributes and attribute data elements. This standard applies to guide the development of hospital medical record collection, storage, sharing and information system b

WS 445.10-2014: Basic dataset of electronic medical record. Part 10: Home page of inpatient medical record


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Basic dataset of electronic medical record. Part 10. Home page of inpatient medical record ICS 11.020 C07 People's Republic of China health industry standards Electronic Medical Record Basic Data Set Part 10. Inpatient medical records homepage Part 10. Homepageofinpatientmedicalrecord Posted on May 30,.2014 2014-10-01 Implementation People's Republic of China National Health and Family Planning Commission released Directory Preface Ⅰ 1 Scope 1 2 Normative references 1 3 Terms and definitions 1 4 Dataset Attributes 1 5 Data Element Attributes 2 5.1 Data Element Common Attributes 5.2 Data Element Specific Attributes 3 5.3 Data Element Range Code Table 17 Index 20

Foreword

This standard was drafted in accordance with the rules given in GB/T 1.1-2009. WS 445 "EMR basic data set" is divided into 17 parts. --- Part 1. medical records summary; --- Part 2. Door (urgent) medical records; --- Part 3. door (urgent) consultation prescription; --- Part 4. Inspection inspection records; --- Part 5. General treatment records; --- Part 6. midwifery records; --- Part 7. Nursing operation records; --- Part 8. Nursing assessment and planning; --- Part 9. informed information; --- Part 10. Inpatient medical records home page; --- Part 11. Chinese medical records Home; --- Part 12. admission records; --- Part 13. Inpatient course records; --- Part 14. hospital doctor's advice; --- Part 15. discharge summary; --- Part 16. Referral (hospital) records; --- Part 17. Medical institutions information. This part is the tenth part of WS 445. This section mainly drafted by. Fourth Military Medical University Health Information Institute, Shanghai University of Traditional Chinese Medicine Shuguang Medical Hospital (Chinese medicine hospital medical quality monitoring center), China Medical University Shengjing Hospital, Ministry of Health statistics information center. The main drafters of this section. Xu Yong, Liu Danhong, Wang Xia, Yang Zhe, Liang Ying, Zhou Hua, Zhu Liming, King see justice, Shi Wanzhong, Guo Qiyong, Fan Ling, Li Tao, Xiao Li, Wu Xiaoling. Electronic Medical Record Basic Data Set Part 10. Inpatient medical records homepage

1 Scope

This part of WS 445 specifies the dataset metadata attributes and data element attributes of the basic data set of inpatient medical records. This section is suitable for guiding the acquisition of basic information in the hospital records, storage, sharing and development of information systems.

2 Normative references

The following documents for the application of this document is essential. For dated references, only the dated version applies to this article Pieces. For undated references, the latest edition (including all amendments) applies to this document. GB/T 2261.1-2003 personal basic information classification and code - Part 1. human gender code GB/T 2261.2-2003 Personal basic information and classification code Part 2. Marital status code GB/T 2261.4-2003 Personal basic information classification and code - Part 4. Occupation category code GB/T 2659-2000 countries and regions in the world name code Roman alphabetical spelling and code for the names of various nationalities in China GB/T 3304-1991 GB/T 4761-2008 family relationship code WS 218-2002 Health Organization (Organization) Classification and Codes WS 364.3-2011 Health Information Data Element Value Range Code Part 3. Demographic and Socio-economic Characteristics Health information data - Element code area code - Part 9. Laboratory tests Health Information Data Element Value Area Code Part 12. Planning and Intervention WS 370-2012 Health Information Basic Data Set Compilation Specifications WS 445.1-2013 Electronic Medical Record Basic Data Set Part 1. Medical Record Summary ICD-9-CM-3 International Classification of Diseases, 9th Edition, Revision 3, Volume 3 ICD-10 International Classification of Diseases 10th Edition

3 Terms and definitions

The terms and definitions defined in WS 370-2012 and WS 445.1-2013 apply to this document.

4 Dataset metadata attributes

According to WS 370-2012, the dataset metadata attributes are shown in Table 1.

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