IHEActCode Vocabulary/zh: Difference between revisions
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|ASTM/HL7 Continuity of Care Document | |ASTM/HL7 Continuity of Care Document | ||
|ASTM/HL7 连续性照护文档 | |||
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|CCR | |CCR | ||
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|ASTM CCR Implementation Guide | |ASTM CCR Implementation Guide | ||
|ASTM CCR 实施指南 | |||
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Revision as of 09:27, 9 March 2010
IHE行动代码词表（IHEActCode Vocabulary）
| CCD | ASTM/HL7 Continuity of Care Document | ASTM/HL7 连续性照护文档 | |
| CCR | ASTM CCR Implementation Guide | ASTM CCR 实施指南 |
The IHEActCode vocabulary is a small vocabulary of clinical acts that are not presently supported by the HL7 ActCode vocabulary. The root namespace (OID) for this vocabulary is 1.3.5.1.4.1.19376.1.5.3.2. These vocabulary terms are based on the vocabulary and concepts used in the CCR and CCD standards listed above.
| Code | Description |
| COMMENT | This is the act of commenting on another act. |
| PINSTRUCT | This is the act of providing instructions to a patient regarding the use of medication. |
| FINSTRUCT | This is the act of providing instructions to the supplier regarding the fulfillment of the medication order. |
| IMMUNIZ | The act of immunization of a patient using a particular substance or class of substances identified using a specified vocabulary. Use of this vocabulary term requires the use of either the SUBSTANCE or SUBSTCLASS qualifier described below, along with an identified substance or class of substances. |
| DRUG | The act of treating a patient with a particular substance or class of substances identified using a specified vocabulary. Use of this vocabulary term requires the use of either the SUBSTANCE or SUBSTCLASS qualifier described below, along with an identified substance or class of substances. |
| INTOL | An observation that a patient is somehow intollerant of (e.g., allergic to) a particular substance or class of substances using a specified vocabulary. Use of this vocabulary term requires the use of either the SUBSTANCE or SUBSTCLASS qualifier described below, along with an identified substance or class of substances. |
| SUBSTANCE | A qualifier that identifies the substance used to treat a patient in an immunization or drug treatment act. The substance is expected to be identified using a vocabulary such as RxNORM, SNOMED CT or other similar vocabulary and should be specific enough to identify the ingredients of the substance used. |
| SUBSTCLASS | A qualifier that identifies the class of substance used to treat a patient in an immunization or drug treatment act. The class of substances is expected to be identified using a vocabulary such as NDF-RT, SNOMED CT or other similar vocabulary, and should be broad enough to classify substances by mechanism of action (e.g., Beta Blocker), intended effect (Dieuretic, antibiotic) or ... |
| For Public Comment | What else needs to appear above for SUBSTCLASS? |