T/CHIA 53.8-2024 Cardiac infarction electronic medical record dataset standard Part 8: Nursing assessment and plan
T/CHIA 53.8-2024 Cardiac infarction electronic medical record dataset standard Part 8: Nursing assessment and plan
Basic Information
Scope
Main technical content: This standard was 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 8th 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 Planning ----- Part 9: Hospitalization Case First Page ----- 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 managed by the Chinese Society of Health Informatics and Big Data in Healthcare.