T/ZJHIA 05-2023 Active

Scope: This document specifies the data elements and data set attributes of demographic information, consultation information, medical diagnosis, medical history information, physical examination, laboratory tests, auxiliary examinations, scale assessments, treatment, and follow-up information for patients with depression, a mental disorder. This document is applicable to the scientific research and management of depression, as well as the design, development, and maintenance of related information systems. Main technical content: Based on disease diagnosis and treatment guidelines and a blueprint for patient information collection in real medical institutions, this document constructs a standard data set for common mental disorders, including general patient information, demographic data, concomitant diseases and family history, symptom assessment information, collection standards for physiological indicators, and recommendations for tracking and collecting treatment plans and treatment outcomes during the treatment process. After being discussed and agreed upon by an expert panel, this specification complies with relevant national standards, regulations, procedures, and other related provisions.