T/CHIA 46.5-2023 Chronic Hepatitis B specialist electronic medical record basic dataset Part 5: Laboratory records
T/CHIA 46.5-2023 Chronic Hepatitis B specialist electronic medical record basic dataset Part 5: Laboratory records
Basic Information
Scope
Main technical content: This document is drafted in accordance with the provisions of GB/T 1.1—2020. The "Basic Data Set for Electronic Medical Records of Chronic Hepatitis B Specialty" is divided into 13 parts: — Part 1: Patient basic information — Part 2: Outpatient (emergency) medical records — Part 3: Outpatient (emergency) prescriptions — Part 4: Examination records — Part 5: Laboratory test records — Part 6: Specialty inpatient case summary — Part 7: Nursing operation records — Part 8: Nursing assessment and plan — Part 9: Admission records — Part 10: Discharge records — Part 11: Inpatient medical orders — Part 12: Referral (hospital) records — Part 13: Medical institution information This document is Part 5 of T/CHIA46. It was proposed by Mengchao Liver and Biliary Hospital of Fujian Medical University and is coordinated by the Chinese Society of Health Informatics and Healthcare Big Data.