ICS GuidelinesonconstructionoftheshareddatabaseoftypicalcasestreatedbyprestigousphysiciansofTradtionalChineseMedicine 中國中醫(yī)藥信息學(xué) 發(fā)T/CIATCMT/CIATCM070—T/CIATCMT/CIATCM070— 前 IT技術(shù)規(guī) 附錄A（資料性附錄）名老中醫(yī)典型病案共享數(shù)據(jù)庫建設(shè)指 附錄B（資料性附錄）名老中醫(yī)典型病案共享數(shù)據(jù)庫建設(shè)指 T/CIATCMT/CIATCM070—T/CIATCMT/CIATCM070—GB/T2260-2013中華人民共和國行政區(qū)劃代碼GB/T2261.1-2003個(gè)人基本信息分類與代碼第1部分：人的性別代碼GB/T2261.2-2003個(gè)人基本信息分類與代碼第2部分：婚姻狀況代碼GB/T3304-1991中國各民族名稱的羅馬字母拼寫法和代碼GB/T4761-2008GB/T7408-2005數(shù)據(jù)元和交換格式信息交換GB/T10114-2003縣級(jí)以下行政區(qū)劃代碼編制規(guī)則GB/T15657-1995GB/T16751.3GB/T22239-2019信息安全技術(shù)WS/T303-2009衛(wèi)生信息數(shù)據(jù)元標(biāo)準(zhǔn)化規(guī)則WS364-2011WS371-2012WS445.11-2014WS/T447-2014T/CIATCM058-2019中醫(yī)藥信息標(biāo)準(zhǔn)編制通則ICD-1010GB/T7408、GB/T18391.3、WS/T303、WS/T305、WS/T306、WS363、TCIATCM037-2019extensiblemarkupclinicaldocumentCPOE：計(jì)算機(jī)化醫(yī)生醫(yī)囑錄入系統(tǒng)(ComputerizedPhysicianOrderEntry)EMR：電子病歷（ElectronicMedicalRecord）HIS：醫(yī)院信息系統(tǒng)（HospitalInformationSystem）HL7：衛(wèi)生信息交換標(biāo)準(zhǔn)（HealthLevel7）HMIS：醫(yī)院管理信息系統(tǒng)(HospitalManagementInformationSystem)LIS：實(shí)驗(yàn)室信息系統(tǒng)（LaboratoryInformationSystem）PACS：圖像歸檔和通信系統(tǒng)（PictureArchivingandCommunicationSystem）RIS：放射科信息系統(tǒng)(RadiographyInformationSystem)TCD：中醫(yī)病證分類與代碼（ClassificationandcodesofdiseasesandZHENGOfTraditionalChinese（HL）（OD）ETL等數(shù)在數(shù)據(jù)庫建設(shè)中，盡可能采用國際、國內(nèi)醫(yī)學(xué)領(lǐng)域相關(guān)標(biāo)準(zhǔn)，如TCD、ICD10等，以符合流程的標(biāo)問、切聞、問、切聞、問、切1EMR2。7.2.2據(jù)轉(zhuǎn)換的過程中需要將業(yè)務(wù)系統(tǒng)的數(shù)據(jù)轉(zhuǎn)換成名老中醫(yī)典型病案共享知識(shí)庫能夠接收的數(shù)據(jù)具體內(nèi)容見附錄B表B.2-B.4。具體內(nèi)容見附錄BB.5-B.14具體內(nèi)容見附錄B表B.15-B.18。（HILISEMHIM等）EM領(lǐng)域及相關(guān)數(shù)據(jù)源參見附錄B表B.13360ITITITIT管理員應(yīng)遵循技術(shù)和管理相結(jié)合的原則進(jìn)行設(shè)計(jì)和實(shí)施，保證各種安全技術(shù)與運(yùn)行管理機(jī)制、A.1主訴（癥狀/體征癥狀：過敏（不良反應(yīng)體格檢查：功能（殘疾疾?。ㄍ鈧㏄atientPatientMedicalB.2WS218-WS364.3-2011CV02.01.101GB/T2261.1-T/CIATCMT/CIATCM070—T/CIATCMT/CIATCM070—GB/T2261.2-WS364.15-2011CV08.30.005出生地（省GB/T2260-出生地（區(qū)、縣GB/T2260-GB/T2659-GB/T3304-B.3WS218-GB/T2261.1-WS364.3-2011CV02.01.101B.4WS218-GB/T2261.1-T/CIATCMT/CIATCM070—T/CIATCMT/CIATCM070—WS364.3-2011CV02.01.101入院診斷（主診斷ICD-10入院診斷（中醫(yī)病名）GB/T15657-入院診斷（中醫(yī)證候）GB/T15657-WS364.12-2011CV06.00.101出院診斷（主診斷ICD-10出院診斷（中醫(yī)病名）GB/T15657-出院診斷（中醫(yī)證候）GB/T15657-B.5WS218-GB/T2261.1-T/CIATCMT/CIATCM070—T/CIATCMT/CIATCM070—GB/T15657-GB/T15657-WS218-GB/T2261.1-B.7WS218-WS364.16-2011CV08.50.002T/CIATCMT/CIATCM070—T/CIATCMT/CIATCM070—B.8WS364.12-2011CV06.00.102總量（臨時(shí)醫(yī)囑會(huì)使用WS218-WS445.4-CV06.00.227T/CIATCMT/CIATCM070—T/CIATCMT/CIATCM070—B.9WS218-WS363.9-B.10WS218-T/CIATCMT/CIATCM070—T/CIATCMT/CIATCM070—B.11WS218-B.12WS218-T/CIATCMT/CIATCM070—T/CIATCMT/CIATCM070—B.14B.13WS218-WS218-給出強(qiáng)度（單次劑量給出強(qiáng)度單位（單次劑量單位WS364.16-2011CV08.50.002給出藥品數(shù)量（最小單位WS364.12-2011CV06.00.102貼數(shù)（用于草藥T/CIATCMT/CIATCM070—B.15T/CIATCMT/CIATCM070—WS218-時(shí)限要求（文字B.16WS218-TEXTWS218-T/CIATCMT/CIATCM070—T/CIATCMT/CIATCM070—WS218-WS218-GB/T2261.1-WS364.3-2011CV02.01.101WS218-T/CIATCMT/CIATCM070—T/CIATCMT/CIATCM070—WS218-WS218-GB/T2261.1-WS364.3-2011CV02.01.101T/CIATCMT/CIATCM070—T/CIATCMT/CIATCM070—WS218-WS218-GB/T2261.1-WS364.15-2011CV08.30.005GB/T2261.4-GB/T3304-GB/T2659-T/CIATCMT/CIATCM070—T/CIATCMT/CIATCM070—WS364.3-2011CV02.01.101GB/T2261.2-GB/T4761-門（急）診診斷（中醫(yī)診斷）GB/T15657-門（急）診診斷（中醫(yī)癥候）GB/T15657-門（急）診診斷（西醫(yī)診斷）GB/T16751.3-GB/T15657-GB/T15657-顱腦損傷患者昏迷時(shí)間_顱腦損傷患者昏迷時(shí)間_WS364