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Basic data
| Standard ID | WS 445.8-2014 (WS445.8-2014) |
| Description (Translated English) | Basic dataset of electronic medical record. Part 8: Nursing valuation and plan |
| Sector / Industry | Health Industry Standard |
| Classification of Chinese Standard | C07 |
| Classification of International Standard | 11.020 |
| Word Count Estimation | 20,232 |
| 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 4658-2006; WS 364.5-2011; WS 364.11-2011; 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 basic nursing assessment and plan data set metadata attributes and attribute data elements. This standard applies to guide assessment and care plan development of basic information collection, storage, sharing, and inf |
WS 445.8-2014: Basic dataset of electronic medical record. Part 8: Nursing valuation and plan
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Basic dataset of electronic medical record. Part 8. Nursing valuation and plan
ICS 11.020
C07
People's Republic of China health industry standards
Electronic Medical Record Basic Data Set
Part 8. Nursing assessment and planning
Part 8. Nursingvaluationandplan
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 assessment record subset 3
5.2.2 Nursing plan record subset 7
5.2.3 Discharge Evaluation and Guidance Record Subset 9
5.3 Data Element Range Code Table 12
Index 14
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 eighth part of WS 445.
This section mainly drafted by. Shengjing Hospital Affiliated to China Medical University, Fourth Military Medical University People's Liberation Army Health Information Research
The Ministry of Health Statistics Information Center.
The main drafters of this section. Guoqi Yong, all Yu, Fan Ling, Li Tao, Xiao Li, Wang Tiequan, Lei Yongjian, Wang Xia, Hu Jianping, Zhang Lili.
Electronic Medical Record Basic Data Set
Part 8. Nursing assessment and planning
1 Scope
This part of WS 445 specifies dataset metadata attributes and data element attributes for the Nursing Assessment and Planning Basic Data Set.
This section applies to guide the evaluation and planning of basic information collection, 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 4658-2006
Health Information Data Element Value Range Code Part 5. Health Risk Factors
Health information data - Element code area code - Part 11. Medical assessment
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.
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