T/CHIA 53.4-2024 Myocardial infarction electronic medical record dataset standard Part 4: Emergency observation medical record
T/CHIA 53.4-2024 Myocardial infarction electronic medical record dataset standard Part 4: Emergency observation medical record
Basic Information
Scope
Main technical content: This standard is drafted in accordance with the provisions of GB/T 1.1-2020 "Guide for Standardization Work - Part 1: Structure and Drafting Rules for Standardization Documents". This standard is the fourth part of T/CHIA 53—2024, "Myocardial Infarction Electronic Medical Record Data Set Standard", which is divided into the following 14 parts: ----- Part 1: Patient Basic Information ----- Part 2: Outpatient (Emergency) Medical Records ----- Part 3: Outpatient (Emergency) Prescriptions ----- Part 4: Emergency Observation Medical Records ----- Part 5: Examination Records ----- Part 6: Laboratory Test Records ----- Part 7: Nursing Operation Records ----- Part 8: Nursing Assessment and Plan ----- Part 9: Hospitalization Case Summary ----- Part 10: Admission Records ----- Part 11: Discharge Summary ----- Part 12: Inpatient Medical Orders ----- Part 13: Referral (Hospital) Records ----- Part 14: Medical Institution Information This standard was proposed by Xiangya Third Hospital of Central South University and is under the jurisdiction of the Chinese Society of Health Informatics and Big Data in Healthcare.