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Basic data
| Standard ID | WS 445.3-2014 (WS445.3-2014) |
| Description (Translated English) | Basic dataset of electronic medical record. Part 3: Outpatient and emergency prescription |
| Sector / Industry | Health Industry Standard |
| Classification of Chinese Standard | C07 |
| Classification of International Standard | 11.020 |
| Word Count Estimation | 15,130 |
| Date of Issue | 5/30/2014 |
| Date of Implementation | 10/1/2014 |
| Quoted Standard | GB/T 2261.1-2003; GB/T 15657-1995; GB/T 16751.3-1997; WS 218-2002; WS 364.12-2011; WS 364.16-2011; 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 door (emergency) attending basic prescription dataset metadata attributes and attribute data elements. This section applies to the guidance of the door (urgent) to develop the collection, storage, sharing and informati |
WS 445.3-2014: Basic dataset of electronic medical record. Part 3: Outpatient and emergency prescription
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Basic dataset of electronic medical record. Part 3. Outpatient and emergency prescription
ICS 11.020
C07
People's Republic of China health industry standards
Electronic Medical Record Basic Data Set
Part 3. Door (urgent) consultation prescription
Part 3. Outpatientandemergencyprescription
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
5.2.1 Western prescriptions 3
5.2.2 Traditional Chinese Medicine Prescriptions 5
5.3 Data Element Range Code Table 9
Index 10
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 third part of WS 445.
This section mainly drafted by. Fourth Military Medical University Health Information Institute, Guangdong Provincial Hospital of Traditional Chinese Medicine, Wuxi City, Chinese medicine
Hospital, Ministry of Health Statistics Information Center.
The main drafters of this section. Liu Danhong, Xu Yong, Wang Xia, Pan Feng, Yang Peng, Cheng Lan, Yi Chuan Liang, Wang Weirong, Fu Hao Yang, Shen Chongde,
Tong Si Mu, Han Shibin, Wang Caoyou.
Electronic Medical Record Basic Data Set
Part 3. Door (urgent) consultation prescription
1 Scope
This part of WS 445 specifies the dataset metadata attributes and data element attributes for gatekeeper prescription basic data sets.
This section applies to guide the door (acute) clinic prescription 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
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 218-2002 Health Organization (Organization) Classification and Codes
Health Information Data Element Value Area Code Part 12. Planning and Intervention
WS 364.16-2011 Health Information Data Element Value Range Code Part 16. Pharmaceuticals, Equipment and Materials
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
Dataset Name Door (Urgent) Clinic Prescription Base Data Set
Data Set Identifier HDSD00.04_V1.0
Data Collector - Name of Organization National Standards Committee of Health Standards Committee of Information Standards
Keywords door (emergency) clinic prescription
Data set language Chinese
Data set classification - category name health synthesis
...
