T/ZSMM 0003-2023 Ultrasound diagnosis project mutual recognition system data element classification coding rules

Scope

Scope: This standard specifies the basic principles of mutual recognition of ultrasound diagnostic projects and the coding format, coding requirements, and code of data elements. This standard applies to the interoperability and mutual recognition of ultrasound diagnostic projects in various medical institutions; Main technical content: Due to the inconsistent names of ultrasound diagnostic projects and the diagnostic areas they cover in China, as well as the lack of standardization in ultrasound diagnostic operation processes, image storage, and report writing, ultrasound diagnostic results have not yet been included in the mutual recognition system of medical diagnostic results. There is a need to establish a standardized mutual recognition system for ultrasound diagnostic projects. Currently, there is no standardized data element classification and coding rule for ultrasound diagnostic projects at home and abroad. Against this backdrop, in order to achieve the interoperability and mutual recognition of ultrasound diagnostic projects in various medical institutions, reduce duplicate diagnoses, improve the quality control of image reports, reduce image storage costs, and realize "cloud imaging", repeat image reading and analysis, remote consultation, it has been decided to formulate the "Data Element Classification and Coding Rules for Mutual Recognition of Ultrasound Diagnostic Projects" group standard. Part of the standard borrows the naming format of the Medical System Nomenclature - Clinical Terminology (SNOMED CT), and specifies the basic principles of mutual recognition of ultrasound diagnostic projects and the coding format, coding requirements, and code of data elements for the interoperability and mutual recognition of ultrasound diagnostic projects in various medical institutions. At present, Zhejiang Province has implemented the "Zhejiang Province Ultrasound Examination Image Storage Standards". Driven by the deepening of digital reform in the health and

Development Information

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