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Basic data
| Standard ID | WS 445.9-2014 (WS445.9-2014) |
| Description (Translated English) | Basic dataset of electronic medical record. Part 9: Informing information |
| Sector / Industry | Health Industry Standard |
| Classification of Chinese Standard | C07 |
| Classification of International Standard | 11.020 |
| Word Count Estimation | 24,298 |
| Date of Issue | 5/30/2014 |
| Date of Implementation | 10/1/2014 |
| Quoted Standard | GB/T 2261.1-2003; GB/T 4761-2008; WS 364.12-2011; WS 370-2012; WS 445.1-2013; ICD-9-CM-3; ICD-10 |
| Regulation (derived from) | State-Health-Communication [2014] 5 |
| Issuing agency(ies) | National Health and Family Planning Commission of the People's Republic of China |
| Summary | This Standard specifies the basic data set of informed consent information data set metadata attributes and attribute data elements. This Standard applies to inform the development of guidance to know idler collection, storage, sharing and information sys |
WS 445.9-2014: Basic dataset of electronic medical record. Part 9: Informing information
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Basic dataset of electronic medical record. Part 9. Informing information
ICS 11.020
C07
People's Republic of China health industry standards
Electronic Medical Record Basic Data Set
Part 9. Informing information
Part 9. Informinginformation
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 Surgical consent sub-set 3
5.2.2 Anesthesia informed consent sub-set 5
5.2.3 Blood transfusion consent sub-book 8
5.2.4 Special Examinations and Special Treatment Submission 10
5.2.5 Critically ill (heavy) subsets of notices 12
5.2.6 Submission of other informed consent forms 14
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 section is Part 9 of the WS 445.
This part mainly drafted by. Institute of Health Information Fourth Military Medical University, Guangdong Provincial Hospital of Traditional Chinese Medicine, Ministry of Health statistics
information Center.
The main drafters of this section. Wang Xia, Yong Yong, Liu Danhong, Pan Feng, Yang Peng, Cheng Lan, Yi Chuan Liang, Wang Weirong, Fu Hao Yang, Han Shibin,
Tang Xuejun.
Electronic Medical Record Basic Data Set
Part 9. Informing information
1 Scope
This part of WS 445 specifies the data set metadata attributes and data element attributes of the informational informed basic data set.
This section applies to the informed informed of the 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 4761-2008 family relationship code
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
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
The data set name is informed about the basic data set of the information
Dataset identifier HDSD00.10_V1.0
Data Collector - Name of Organization National Standards Committee of Health Standards Committee of Information Standards
Key words risk, surgery, special examination and treatment, blood transfusion, critically ill (heavy) notification
Data set language Chinese
Data set classification - category name health synthesis
...
