T/CHIA 53.9-2024 Myocardial infarction electronic medical record dataset standard Part 9: Inpatient medical record homepage

Scope

Main technical content: This standard is 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 9th part of T/CHIA 53-2024, "Myocardial Infarction Electronic Medical Record Data Set Standard". It 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 Plan **Part 9**: Hospitalization Case First Page **Part 10**: Admission Records **Part 11**: Discharge Summary **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.

Development Information

Same series standard

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