|
US$1019.00 · In stock
Delivery: <= 7 days. True-PDF full-copy in English will be manually translated and delivered via email.
WS/T 500.19-2016: Specification for sharing document of electronic medical record. Part 19: Surgical nursing record
Status: Valid
| Standard ID | Contents [version] | USD | STEP2 | [PDF] delivered in | Standard Title (Description) | Status | PDF |
| WS/T 500.19-2016 | English | 1019 |
Add to Cart
|
7 days [Need to translate]
|
Specification for sharing document of electronic medical record. Part 19: Surgical nursing record
| Valid |
WS/T 500.19-2016
|
PDF similar to WS/T 500.19-2016
Basic data | Standard ID | WS/T 500.19-2016 (WS/T500.19-2016) | | Description (Translated English) | Specification for sharing document of electronic medical record. Part 19: Surgical nursing record | | Sector / Industry | Health Industry Standard (Recommended) | | Classification of Chinese Standard | C07 | | Classification of International Standard | 11.020 | | Word Count Estimation | 44,495 | | Date of Issue | 2016-08-23 | | Date of Implementation | 2017-02-01 | | Regulation (derived from) | State-Health-Announcement (2016)12 | | Issuing agency(ies) | National Health and Family Planning Commission of the People's Republic of China | | Summary | This section specifies document templates for surgical care records and a series of constraints on document headers and document bodies. This part is applicable to the development and application of standardized collection, transmission, storage, shared exchange and information system of medical care records in electronic medical records. | WS/T 500.19-2016: Specification for sharing document of electronic medical record. Part 19: Surgical nursing 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.
Specification for sharing document of electronic medical record. Part 19. Surgical nursing record
ICS 11.020
C07
People's Republic of China health industry standards
Electronic medical record sharing document specification
Part 19. Surgical Nursing Records
Part 19. Surgicalnursingrecord
2016-08-23 released
2017-02-01 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 Abbreviations 1
4 The contents of the document constitute 1
5 document header specification 2
5.1 document activity class specification 2
5.2 Participant Class Specification 2
5.3 Related Activities Class Specification 5
6 Document Body Specification 7
6.1 Document body constitution 7
6.2 Preoperative diagnosis Chapter 7
6.3 vital signs chapter 8
6.4 Laboratory tests Section 9
6.5 Skin chapter 11
6.6 Allergy History Chapter 11
6.7 Nursing records chapter 13
6.8 Nursing Watch chapter 14
6.9 Nursing Operations Section 15
6.10 Equipment Checklist 17
6.11 Surgical Procedures Chapter 21
6.12 Postoperative Handover Section 23
Appendix A (Informative) Surgical Care Record Document Example 25
Foreword
The WS/T 500 EHR Sharing Document Specification is divided into the following 53 sections.
--- Part 1. medical records summary;
--- Part 2. Door (urgent) medical records;
--- Part 3. Emergency medical records;
--- Part 4. Western prescriptions;
--- Part 5. Chinese medicine prescription;
--- Part 6. Inspection Report;
--- Part 7. Inspection Report;
--- Part 8. Treatment records;
--- Part 9. General surgical records;
--- Part 10. preoperative anesthesia visit records;
--- Part 11. Anesthetic records;
--- Part 12. Postoperative anesthesia visit records;
--- Part 13. Transfusion records;
--- Part 14. Record to be produced;
--- Part 15. vaginal birth records;
--- Part 16. Cesarean section records;
--- Part 17. General nursing records;
--- Part 18. Serious (critically ill) nursing records;
--- Part 19. Surgical nursing records;
--- Part 20. vital signs measurement records;
--- Part 21. record of access;
--- Part 22. Records of high value supplies;
--- Part 23. admission assessment;
--- Part 24. Nursing plan;
--- Part 25. discharge assessment and guidance;
--- Part 26. Surgical Informed Consent Form;
--- Part 27. Anesthetic informed consent;
--- Part 28. Blood Transfusion Treatment Consent;
--- Part 29. special examination and special treatment consent;
--- Part 30. Critically ill (heavy) notice;
--- Part 31. Other informed consent forms;
--- Part 32. Inpatient medical records home page;
--- Part 33. Chinese medical records Home;
--- Part 34. admission records;
--- Part 35. Discharge records within 24 hours;
--- Part 36. admission record of death within 24 hours;
--- Part 37. In-patient record of the first course of disease records;
--- Part 38. In-hospital record of routine disease course records;
--- Part 39. In-hospital records of superior physician rounds record;
--- Part 40. records of in-patient records of difficult case history;
--- Part 41. Inpatient records of the transfer records;
--- Part 42. records of hospitalization course transfer records;
--- Part 43. In-patient history record summary;
--- Part 44. Inpatient records of disease records;
--- Part 45. In-patient records of consultation records;
--- Part 46. In-hospital record of preoperative summary;
--- Part 47. preoperative record of in-hospital discussion;
--- Part 48. In-hospital records of the first course of disease records;
--- Part 49. hospitalization record of discharge records;
--- Part 50. In-hospital records of death records;
--- Part 51. In-hospital records of death cases discussion records;
--- Part 52. Hospital doctor's advice;
--- Part 53. discharge summary.
This section is part 19 of the WS/T 500.
This section drafted in accordance with GB/T 1.1-2009 given rules.
This section Drafted by. Huazhong University of Science and Technology Tongji Medical College, West China Hospital of Sichuan University, Chinese People's Liberation Army General Hospital, Zhejiang Digital
Medical Technology Research Institute, Wuxi Chinese Medicine Hospital.
The main drafters of this section. to the Philippines, Shen Laning, Xiong Bing, Huang Yong, Liu Lihua, Shen Jianfeng, Shen Chongde, Xu Dejun, Yang Xuena, Xu Chunhua.
Electronic medical record sharing document specification
Part 19. Surgical Nursing Records
1 Scope
This part of WS/T 500 specifies the document templates for surgical care records and a series of constraints on document headers and document bodies.
This section applies to electronic medical record in the norms of surgical records, transmission, storage, sharing exchange and the development of information systems
application.
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.
WS/T 482 Health Information Sharing Document Preparation Specification
3 Terms and abbreviations
WS/T 482 defined terms and abbreviations apply to this document.
4 document content structure
The contents of the business documents are shown in Table 1, and the examples of documents are shown in Appendix A.
Table 1 business document content structure
Document composition information module cardinality
Document header
Document Activity Class Information 1.1
Patient Information 1.1
Creator Information 1.1
Data entry information 0.1
Document Manager Information 1.1
Related activities information 0. *
Document body
Preoperative diagnosis Chapter 1.1
Vital Signs chapter 1.1
Laboratory tests section 0.1
Skin chapter 0.1
Allergy history chapter
Nursing records section
Tips & Frequently Asked Questions:Question 1: How long will the true-PDF of WS/T 500.19-2016_English be delivered?Answer: Upon your order, we will start to translate WS/T 500.19-2016_English as soon as possible, and keep you informed of the progress. The lead time is typically 4 ~ 7 working days. The lengthier the document the longer the lead time. Question 2: Can I share the purchased PDF of WS/T 500.19-2016_English with my colleagues?Answer: Yes. The purchased PDF of WS/T 500.19-2016_English will be deemed to be sold to your employer/organization who actually pays for it, including your colleagues and your employer's intranet. Question 3: Does the price include tax/VAT?Answer: Yes. Our tax invoice, downloaded/delivered in 9 seconds, includes all tax/VAT and complies with 100+ countries' tax regulations (tax exempted in 100+ countries) -- See Avoidance of Double Taxation Agreements (DTAs): List of DTAs signed between Singapore and 100+ countriesQuestion 4: Do you accept my currency other than USD?Answer: Yes. If you need your currency to be printed on the invoice, please write an email to [email protected]. In 2 working-hours, we will create a special link for you to pay in any currencies. Otherwise, follow the normal steps: Add to Cart -- Checkout -- Select your currency to pay.
|