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WS/T 483.20-2016 PDF English

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WS/T 483.20-2016: Specification for sharing document of residents health record. Part 20: Referral record
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WS/T 483.20-2016English739 Add to Cart 5 days [Need to translate] Specification for sharing document of residents health record. Part 20: Referral record

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Basic data

Standard ID WS/T 483.20-2016 (WS/T483.20-2016)
Description (Translated English) Specification for sharing document of residents health record. Part 20: Referral record
Sector / Industry Health Industry Standard (Recommended)
Classification of Chinese Standard C07
Classification of International Standard 11.020
Word Count Estimation 32,349
Date of Issue 2016-07-12
Date of Implementation 2016-12-15
Quoted Standard GB/T 2261.1-2003; WS/T 482
Regulation (derived from) State-Health-Communication (2016) No.10; Industry Standard Announcement No.16 of 2016 (No.203)
Issuing agency(ies) National Health and Family Planning Commission of the People's Republic of China
Summary This standard specifies the document template, document architecture requirements, and a series of constraints on document headers and document bodies. This standard is suitable for referral (hospital) document application.

WS/T 483.20-2016: Specification for sharing document of residents health record. Part 20: Referral 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 residents health record. Part 20. Referral record ICS 11.020 C07 People's Republic of China health industry standards Health file sharing document specification Part 20. Referral (hospital) records Part 20. Referralrecord 2016-07-12 release 2016-12-15 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 3 5.3 Related Activities Class Specification 5 6 document body specification 5 6.1 Document body constitution 5 6.2 Diagnostic records Section 5 6.3 Laboratory tests Section 7 6.4 Medication Chapter 9 6.5 Surgical procedures Chapter 11 6.6 Other medical treatments Chapter 13 6.7 Past History Chapter 13 Referral for advice Section 15 6.9 Treatment Schedule Chapter 16 6.10 Health Guidance Section 17 Appendix A (informative) referral (hospital) record document example 19

Foreword

WS/T 483 "health file sharing document specification" is divided into the following twenty parts. --- Part 1. Personal basic health information registration; --- Part 2. Birth medical certificate; --- Part 3. Newborn family visit; --- Part 4. child health examination; --- Part 5. First prenatal follow-up service; --- Part 6. Prenatal follow-up service; --- Part 7. postpartum visit; --- Part 8. Postpartum 42 days health check; --- Part 9. Vaccination reports; --- Part 10. Infectious Diseases Report; --- Part 11. Medical proof of death; --- Part 12. Hypertensive patients follow-up services; --- Part 13. Type 2 diabetes patients follow-up service; --- Part 14. Registration of personal information of patients with severe mental illness; --- Part 15. follow-up services for patients with severe mental illness; --- Part 16. Adult health examination; --- Part 17. Clinic summary; --- Part 18. Hospital summary; --- Part 19. consultation records; --- Part 20. Referral (hospital) records. This section is part 20 of WS/T 483. This section drafted in accordance with GB/T 1.1-2009 given rules. This section is drafted. PLA General Hospital, National Health and Family Planning Commission Statistical Information Center, Huazhong Science and Technology Tongji Medical School. The main drafters of this section. Liu Lihua, Feng Dan, Zhang Hongpeng, Hu Jianping, Shen Ningning. Health file sharing document specification Part 20. Referral (hospital) records

1 Scope

WS/T 483 provisions of this part of the referral (hospital) records of the document template, document structure requirements as well as the document header and document body A series of constraints. This section is suitable for referral (hospital) records the application of the document.

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 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 document are shown in Table 1, and for the document examples, see 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. * ...

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