IHEActCode Vocabulary/zh: Difference between revisions

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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.
IHE行动代码词表（IHEActCode Vocabulary）是由HL7行动代码词表（HL7 ActCode vocabulary）目前并不支持的临床行动（clinical acts）代码所构成的一部小型词表。这部词表的根节点名称空间（OID）为1.3.5.1.4.1.19376.1.5.3.2。这些词表术语基于上述CCR和CCD标准之中所采用的词表和概念。


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Revision as of 09:37, 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

IHE行动代码词表（IHEActCode Vocabulary）是由HL7行动代码词表（HL7 ActCode vocabulary）目前并不支持的临床行动（clinical acts）代码所构成的一部小型词表。这部词表的根节点名称空间（OID）为1.3.5.1.4.1.19376.1.5.3.2。这些词表术语基于上述CCR和CCD标准之中所采用的词表和概念。

代码 代码中文名称 描述
COMMENT 注释 This is the act of commenting on another act.
PINSTRUCT 提供用药说明 This is the act of providing instructions to a patient regarding the use of medication.
FINSTRUCT 提供用药医嘱执行说明 This is the act of providing instructions to the supplier regarding the fulfillment of the medication order.
IMMUNIZ 免疫接种 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 药物治疗 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 关于物质不耐的观察 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 物质限定成分 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 物质分类 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 ...


公开征求意见 关于上述的SUBSTCLASS还需要别的什么吗？
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