T/CHIA 53.13-2024 Electronic medical record dataset standard for myocardial infarction, Part 13: Referral (hospital) record

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 13th part of T/CHIA 53-2024, "Standard for Electronic Medical Record Data Set of Myocardial Infarction", which is divided into the following 14 parts: --- **Part 1**: Basic Patient 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 Planning **Part 9**: Hospitalization Case Summary **Part 10**: Admission Records **Part 11**: Discharge Summaries **Part 12**: Hospital 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.

Development Information

Same series standard

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