T/SZCHA 009-2023 The standard for writing records for patients with laceration injuries
T/SZCHA 009-2023 The standard for writing records for patients with laceration injuries
Basic Information
Scope
Scope: This document specifies the basic requirements for the written records of tear injuries and the admission records, course of disease records, surgical records, discharge summaries, evaluation forms, and auxiliary examination requirements. This document is applicable to medical institutions and healthcare professionals in the standardized collection, storage, exchange, and application of information on patients with tear injuries. Main technical content: This standard specifies the basic requirements for the written records of tear injuries and the admission records, course of disease records, surgical records, discharge summaries, evaluation forms, and auxiliary examination requirements. It helps to form a complete data standard and normative system, facilitates the smooth work of healthcare professionals, and safeguards the legitimate rights and interests of patients.