ICS BasicdatasetsforelectronicmedicalrecordsindermatologyspecialtyinTraditionalChineseMedicine 中國中醫(yī)藥信息學 發(fā)T/CIATCM064— 前 T/CIATCM064— T/CIATCM064— T/CIATCM064—GB/T2261-2003GB/T3304-2003GB/T15657-1995GB/T16751.3-1997中醫(yī)臨床診療術語WS218-2002衛(wèi)生機構（組織）WS/T303-2009WS/T305-2009WS/T306-2009WS364-2011WS370-2012WS445-2014T/CIATCM002-2019T/CIATCM003-2019T/CIATCM013-2019T/CIATCM058-2019中醫(yī)藥信息標準編制通則ICD-9-CM-3國際疾病分類第9版3ICD-1010皮膚科T/CIATCM064—WS370-201211HDSD00.C6居民健康卡號、建檔日期時間、就診日期時間、門（急）診號、住院號、姓名、性別、出生日期、西醫(yī)診斷編碼、中醫(yī)元屬性的內部標識符按照《WS370-2012（數(shù)據集分類編碼和順序號組成）HDSD00.C6，順序號與《WS445-20142廣東省中醫(yī)院（廣州中醫(yī)藥大學第二附屬醫(yī)院T/CIATCM064—WS445.1-20141WS445.1-20141WS445.1-20141診病歷》中的門（急）3。急診留觀病歷子集數(shù)據元專用屬性采標《WS445.2-20142（急）T/CIATCM064—門T/CIATCM003-2019藥信息數(shù)據元值域代碼05.01.501 中醫(yī)藥信息數(shù)據元值域代碼中 T/CIATCM011-2019GB/T15657-GB/T15657-T/CIATCM003-2019CV05.01.535中醫(yī)辨證方法T/CIATCM003-2019CV05.01.536中醫(yī)基本病機T/CIATCM064—3（續(xù)T/CIATCM003-2019CV05.01.538中醫(yī)病因分類T/CIATCM003-2019CV05.01.539中醫(yī)發(fā)病類型T/CIATCM003-2019CV05.01.540中醫(yī)發(fā)病形式T/CIATCM003-2019CV05.01.541發(fā)病途徑分類GB/T16751.3-CV03.00.A15季節(jié)誘發(fā)因素CV04.01B76加重因素代碼HDSD00.C6.CV03.00.A19年齡誘發(fā)因T/CIATCM064—3（續(xù)CV03.00.A21飲食誘發(fā)因CV03.00.A24職業(yè)誘發(fā)因CV03.00.A29社會誘發(fā)因CV03.00.A31情志誘發(fā)因素CV03.00.A33生活習慣誘發(fā)T/CIATCM064—3（續(xù)CV03.00.A35微生物誘發(fā)因CV03.00.A37接觸物誘發(fā)因CV03.00.A39物理誘發(fā)因T/CIATCM064—4。T/CIATCM064—GB/T7635.1-T/CIATCM024-2019T/CIATCM024-2019T/CIATCM003-2019藥信息數(shù)據元值域代碼CV08.50.510中藥配伍禁GB/T7635.1-中藥飲片炮制方法分類T/CIATCM024-2019T/CIATCM024-2019T/CIATCM064—檢查記錄子集中的數(shù)據元專用屬性采標《WS445.4-20144部分：檢查檢驗T/CIATCM064—WS364.7衛(wèi)生信息數(shù)據元7CV04.10.005WS364.7衛(wèi)生信息數(shù)據元7CV04.10.0091.2.WS364.7衛(wèi)生信息數(shù)據元7CV04.10.004T/CIATCM064—5（續(xù)皮下脂肪厚度皮下脂肪厚度的測量值,1.2.3.CV04.10.A88皮損顏色代CV06.00.E14皮疹分布特點CV04.10.A90皮損排列特T/CIATCM064—5（續(xù)CV04.10.A91皮損排列形狀CV05.01.A81皮損邊緣及界CV04.10.A93紅斑顏色代CV05.01.A82皮損浸潤程CV05.01.A83皰疹類型代2424T/CIATCM064—5（續(xù)或紫癜，形成虹膜狀損害1.2.皮膚CTCT皮膚CTCTT/CIATCM064—5（續(xù)EE1.2.標識個體有無進行天皰瘡抗體檢查（用于診斷天皰瘡（用于診斷生殖器皰疹T/CIATCM064—5（續(xù)標識個體有無進行醋酸白試驗（用于診斷尖銳濕疣腦脊液VDRL標識個體有無進行腦脊液VDRL（用于診斷神經梅毒腦脊液VDRLVDRLT/CIATCM064—5（續(xù)320-400nm膚感染及卟啉病的輔助診斷HIVHIV抗體檢測（用于檢測艾滋病T/CIATCM064—治療記錄子集中的數(shù)據元專用屬性采標《WS445.5-20145部分：一般治療（危重WS445.7-20147生命體征測量記錄子集數(shù)據元專用屬性描述采標《WS445.7-20147高值耗材使用記錄子集數(shù)據元專用屬性描述采標《WS445.7-20147部分：出院評估與指導記錄子集數(shù)據元專用屬性采標《WS445.8-20148部分：護特殊檢查及特殊治療同意書子集數(shù)據元專用屬性采標《WS445.9-2014電子病歷基本數(shù)據集第T/CIATCM064—其他知情同意書子集數(shù)據元專用屬性采標《WS445.9-20149部分：知情告入院記錄子集數(shù)據元專用屬性采標《WS445.12-201412部分：入院記錄》24hWS445.12-20141224h24hWS445.12-20141224hT/CIATCM064—ICD-10T/CIATCM064—6T/CIATCM064—6（續(xù)織，軟硬不等。T/CIATCM064—首次病程記錄子集數(shù)據元專用屬性采標《WS445.13-201413日常病程記錄子集數(shù)據元專用屬性采標《WS445.13-201413上級醫(yī)師查房記錄子集數(shù)據元專用屬性采標《WS445.13-201413疑難病歷討論子集數(shù)據元專用屬性采標《WS445.13-201413交接班記錄子集數(shù)據元專用屬性采標《WS445.13-201413WS445.13-201413階段小結記錄子集數(shù)據元專用屬性采標《WS445.13-201413WS445.13-201413WS445.13-201413WS445.13-201413WS445.13-201413死亡病歷討論記錄子集數(shù)據元專用屬性采標《WS445.13-201413T/CIATCM064—住院醫(yī)囑子集數(shù)據元專用屬性采標《WS445.14-201414出院小結子集數(shù)據元專用屬性采標《WS445.15-20143轉診(院)記錄子集數(shù)據元專用屬性采標《WS445.16-201416部分：轉診(院)醫(yī)療機構基本信息子集數(shù)據元專用屬性采標《WS445.17-201417 CV03.00.A15季節(jié)誘發(fā)因素代碼表8CV04.01.B76T/CIATCM064—表8（續(xù) CV03.00.A19年齡誘發(fā)因素代碼 CV03.00.A21飲食誘發(fā)因素代碼 CV03.00.A24職業(yè)誘發(fā)因素代碼T/CIATCM064— CV03.00.A29社會誘發(fā)因素代碼 CV03.00.A33生活習慣誘發(fā)因素代碼T/CIATCM064— CV03.00.A35微生物誘發(fā)因素代碼 CV03.00.A37接觸物誘發(fā)因素代碼表17CV03.00.A39T/CIATCM064—表17（續(xù)表18CV04.10.A86皮膚局限性色素改變，既不高起，也不凹下，＜1-T/CIATCM064—表19CV04.10.A88黃白/表20CV06.00.E14T/CIATCM064—表21