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WS 445.12-2014: Basic dataset of electronic medical record. Part 12: Admission record
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WS 445.12-2014
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Basic data | Standard ID | WS 445.12-2014 (WS445.12-2014) | | Description (Translated English) | Basic dataset of electronic medical record. Part 12: Admission record | | Sector / Industry | Health Industry Standard | | Classification of Chinese Standard | C07 | | Classification of International Standard | 11.020 | | Word Count Estimation | 24,265 | | 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 3304-1991; GB/T 4761-2008; GB/T 15657-1995; GB/T 16751.3-1997; WS 370-2012; WS 445.1-2013; 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 data set admission records basic data set metadata attributes and attribute data elements. This standard applies to admission records guidance to develop the collection, storage, sharing and information system basic information | WS 445.12-2014: Basic dataset of electronic medical record. Part 12: Admission record---This is a DRAFT version for illustration, not a final translation. Full copy of true-PDF in English version (including equations, symbols, images, flow-chart, tables, and figures etc.) will be manually/carefully translated upon your order.
Basic dataset of electronic medical record. Part 12. Admission record
ICS 11.020
C07
People's Republic of China health industry standards
Electronic Medical Record Basic Data Set
Part 12. admission records
Part 12. Admissionrecord
Posted on May 30,.2014
2014-10-01 Implementation
People's Republic of China National Health and Family Planning Commission released
Directory
Foreword Ⅲ
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
5.2.1 admission record subset 3
5.2.2 24h admission and discharge record subset 9
5.2.3 death within 24h admission record subset 13
Index 17
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 section is the 12th part of WS 445.
This section mainly drafted by. General Hospital of Chinese People's Liberation Army, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine (Chinese medicine hospital medical quality
Monitoring Center), Shengjing Hospital Affiliated to China Medical University, Ministry of Health Statistics Information Center.
The main drafters of this section. Liu Lihua, Yao Yuan, Liu Jianchao, Feng Dan, Zhou Hua, Zhu Liming, Wang Zhipi, Shi Wanzhong, Guo Qiyong, Chen Zhongyan,
Li Yanlong, Wang Tiequan, Lei Yongjian, Tong Xin.
Electronic Medical Record Basic Data Set
Part 12. admission records
1 Scope
This part of WS 445 specifies the data set metadata attributes and data element attributes of the admission record basic data set.
This section applies to guide the admission record basic information collection, storage, sharing and information system development.
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
Roman alphabetical spelling and code for the names of various nationalities in China GB/T 3304-1991
GB/T 4761-2008 family relationship code
Classification and code of TCM syndromes GB/T 15657-1995
Chinese medicine clinical diagnosis and treatment of terminology part of the law GB/T 16751.3-1997
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-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.
Table 1 Dataset metadata attributes
Metadata Subset Metadata Item Metadata value
Identification information
Subset
Data set name Admission record Basic data set
Data Set Identifier HDSD00.13_V1.0
Data Collector - Name of Organization National Standards Committee of Health Standards Committee of Information Standards
Keywords admission record
Data set language Chinese
Data set classification - category name health synthesis
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