T/SZCHA 002-2023 Chemical burn special disease writing record standardization
T/SZCHA 002-2023 Chemical burn special disease writing record standardization
Basic Information
Scope
Scope: This document specifies the basic requirements for the written records of chemical burns and the admission records, course of treatment records, surgical records, discharge summaries, evaluation forms, and ancillary examination requirements for patients with chemical burns. This document applies to medical institutions and medical staff in the standardized collection, storage, exchange, and application of information on patients with chemical burns; Main technical content: This standard specifies the basic requirements for the written records of chemical burns and the admission records, course of treatment records, surgical records, discharge summaries, evaluation forms, and ancillary examination requirements. It helps to form a complete data standard and normative system, facilitates the smooth work of medical staff, and protects the legitimate rights and interests of patients.