T/CGSS 017-2021 Perioperative Data Standards

Scope

Main technical content: This document will divide perioperative data elements into basic medical data categories and visit and follow-up data categories based on the production process of data elements, data sources, data types, and the principle of subjectivity and objectivity in the value of data elements. Basic medical data categories and visit and follow-up data categories include data elements throughout the entire preoperative, intraoperative, and postoperative treatment stages of patients. This document follows the principles of scientificity, practicality, and clear boundaries to sub-classify basic medical data and visit and follow-up data in perioperative data. Basic medical data categories mainly include data elements collected by various business systems such as HIS, CIS, LIS, and PACS during the patient's hospitalization, which are more objective; visit data elements refer to medical data collected by medical staff through face-to-face interviews and electronic visit forms during the patient's hospitalization, which are more subjective; and follow-up data elements refer to medical data collected by medical staff through telephone calls and electronic follow-up forms after the patient's discharge, which are more subjective. According to this document, the construction of a multi-center perioperative data center in the National Key Special Project of the Ministry of Science and Technology, "Research on Comprehensive Technical Solutions for Perioperative Management of Elderly Patients", has been completed. So far, the center has been running stably, achieving seamless connection between in-hospital medical data and out-of-hospital follow-up and visit data, and establishing a 360-degree data view of patients' perioperative period, meeting the needs of clinical research data exchange, sharing, and research in the 18 participating hospitals.

Development Information

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