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Basic data
| Standard ID | WS 445.6-2014 (WS445.6-2014) |
| Description (Translated English) | Basic dataset of electronic medical record. Part 6: Delivery record of therapy and treatment |
| Sector / Industry | Health Industry Standard |
| Classification of Chinese Standard | C07 |
| Classification of International Standard | 11.020 |
| Word Count Estimation | 26,228 |
| Date of Issue | 5/30/2014 |
| Date of Implementation | 10/1/2014 |
| Quoted Standard | GB/T 2261.1-2003; WS 364.4-2011; WS 364.10-2011; WS 364.12-2011; WS 370-2012; WS 445.1-2013; ICD-9-CM-3 |
| 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 sets midwifery record basic data set metadata attributes and attribute data elements. This standard applies to the guidance of midwifery record collection, storage, sharing and development of information systems of basic i |
WS 445.6-2014: Basic dataset of electronic medical record. Part 6: Delivery record of therapy and treatment
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Basic dataset of electronic medical record. Part 6. Delivery record of therapy and treatment
ICS 11.020
C07
People's Republic of China health industry standards
Electronic Medical Record Basic Data Set
Part 6. Midwifery records
Part 6. Deliveryrecordoftherapyandtreatment
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 Pending Record Subset 3
5.2.2 vaginal birth record subset 6
5.2.3 cesarean section surgery record subset 12
5.3 Data Element Range Code Table 17
Index 18
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 sixth part of WS 445.
This part mainly drafted by. Beijing Maternal and Child Health Hospital, National Maternal and Child Health Center, Chinese People's Liberation Army General Hospital, Ministry of Health statistics letter
Interest Center.
The main drafters of this section. Wu Minghui, Zhang Di, Zhang Xue, Gan Liping, Liu Lihua, Chen Zhongyan, Li Yanlong, Tang Xuejun.
Electronic Medical Record Basic Data Set
Part 6. Midwifery records
1 Scope
This part of WS 445 specifies the dataset metadata attributes and data element attributes for midwifery record base data sets.
This section applies to guide the midwifery 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
Health Information Data Element Value Range Codes Part 4. Health History
Health information data - Element code area code - Part 10. Medical diagnosis
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
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 Midwifery Record base dataset
Data Set Identifier HDSD00.07_V1.0
Data Collector - Name of Organization National Standards Committee of Health Standards Committee of Information Standards
Keywords midwifery records
Data set language Chinese
Data set classification - category name health synthesis
...
