基于FHIR的健康档案共享文档实施时必须严格遵循本实施指南的规定。
CodeSystem: 电子病历共享文档类型代码表
Summary
Defining URL: | http://hl7.org.cn/fhir/sd/ehr/CodeSystem/codesystem-emr-document-type |
Version: | 0.8.0.2022705 |
Name: | CSEMRDocumentType |
Title: | 电子病历共享文档类型代码表 |
Status: | Active as of 2022-07-05T13:46:42+08:00 |
Definition: | 电子病历共享文档类型代码表
|
Publisher: | CHIMA&HL7中国委员会 |
Content: | Complete: All the concepts defined by the code system are included in the code system resource |
Source Resource: | XML / JSON / Turtle |
This Code system is referenced in the content logical definition of the following value sets:
This code system http://hl7.org.cn/fhir/sd/ehr/CodeSystem/codesystem-emr-document-type defines the following codes:
Code | Display | Definition |
HSDA00.01 | 个人基本健康信息登记 | 个人基本健康信息登记 |
C0001 | 病历概要 | |
C0002 | 门(急)诊病历 | |
C0003 | 急诊留观病历 | |
C0004 | 西药处方 | |
C0005 | 中药处方 | |
C0006 | 检查报告 | |
C0007 | 检验报告 | |
C0008 | 治疗记录 | |
C0009 | 一般手术记录 | |
C0010 | 麻醉术前访视记录 | |
C0011 | 麻醉记录 | |
C0012 | 麻醉术后访视记录 | |
C0013 | 输血记录 | |
C0014 | 待产记录 | |
C0015 | 阴道分娩记录 | |
C0016 | 剖宫产记录 | |
C0017 | 一般护理记录 | |
C0018 | 病重(病危)护理记录 | |
C0019 | 手术护理记录 | |
C0020 | 生命体征测量记录 | |
C0021 | 出入量记录 | |
C0022 | 高值耗材使用记录 | |
C0023 | 入院评估 | |
C0024 | 护理计划 | |
C0025 | 出院评估与指导 | |
C0026 | 手术知情同意书 | |
C0027 | 麻醉知情同意书 | |
C0028 | 输血治疗同意书 | |
C0029 | 特殊检查及特殊治疗同意书 | |
C0030 | 病危(重)通知书 | |
C0031 | 其他知情同意书 | |
C0032 | 住院病案首页 | |
C0033 | 中医住院病案首页 | |
C0034 | 入院记录 | |
C0035 | 24h内入出院记录 | |
C0036 | 24h内入院死亡记录 | |
C0037 | 住院病程记录 首次病程记录 | |
C0038 | 住院病程记录 日常病程记录 | |
C0039 | 住院病程记录 上级医师查房记录 | |
C0040 | 住院病程记录 疑难病例讨论记录 | |
C0041 | 住院病程记录 交接班记录 | |
C0042 | 住院病程记录 转科记录 | |
C0043 | 住院病程记录 阶段小结 | |
C0044 | 住院病程记录 抢救记录 | |
C0045 | 住院病程记录 会诊记录 | |
C0046 | 住院病程记录 术前小结 | |
C0047 | 住院病程记录 术前讨论 | |
C0048 | 住院病程记录 术后首次病程记录 | |
C0049 | 住院病程记录 出院记录 | |
C0050 | 住院病程记录 死亡记录 | |
C0051 | 住院病程记录 死亡病例讨论记录 | |
C0052 | 住院医嘱 | |
C0053 | 出院小结 | |