From: Defining health data elements under the HL7 development framework for metadata management
Domain | Data set | Domain | Data set |
---|---|---|---|
Electronic Medical Record | 01: medical record summary 02: outpatient and emergency medical record 03: outpatient and emergency prescription 04: examination and laboratory test record 05: general therapy and treatment record 06: delivery record of therapy and treatment 07: nursing operation records 08: nursing evaluation and plan 09: informed consent 10: first page of inpatient medical record 11: first page of inpatient medical record summary of traditional Chinese medicine 12: admission record 13: inpatient progress note 14: inpatient order 15: discharge summary 16: transfer record | Disease Control | 01: HIV/AIDS prevention and control 02: schistosomiasis management 03: chronic filariasis management 04: occupational disease report 05: occupational health surveillance 06: behavioral risk monitoring 07: medical certificate of death 08: infectious disease report 09: tuberculosis report 10: immunization 11: tuberculosis (TB) management 12: tuberculosis (TB) patient drug-resistant management 13: adverse event following immunization 14: vaccine management 15: registration and report of stroke 16: management of stroke patient 17: cervical cancer screening registry 18: colorectal cancer screening registry |
Medical Service | 01: outpatient summary 02: hospitalization patient summary 03: adults health examination | ||
Disease Management | 01: hepatitis B patients management 02: hypertension patients management 03: severe psychiatric disease patients management 04: elderly health management 05: type 2 diabetes patients health management 06: cancer patients management | Children’s Health | 01: birth certificate 02: children’s physical examination 03: new born screening 04: nutritional disease of children management |
Women’s Health | 01: premarital care 02: screening common gynecological diseases 03: technical service of family planning 04: maternal healthcare and high-risk management 05: prenatal screening and diagnosis 06: birth defect monitoring | ||
Basic Health Record | 01: health record for residents 02: residents’ health card |