WS/T 483.5-2016Specification for sharing document of residents health record. Part 5: First prenatal follow-up visit service (English PDF)

Foreword

WS/T 483 "Health File Sharing Document Specification" is divided into the following 20 parts.

---Part 1: Personal basic health information registration;

---Part 2: Birth medical certificate;

---Part 3: Family visits for newborns;

---Part 4: Children's health examination;

---Part 5: First prenatal follow-up service;

---Part 6: Prenatal follow-up service;

---Part 7: Postpartum visit;

---Part 8: Health check on 42 days after delivery;

---Part 9: Vaccination report;

---Part 10: Infectious Disease Report;

---Part 11: Death medical certificate;

---Part 12: Follow-up service for patients with hypertension;

---Part 13: Follow-up service for patients with type 2 diabetes;

---Part 14: Personal information registration of patients with severe mental illness;

---Part 15: Follow-up service for patients with severe mental illness;

---Part 16: Adult health examination;

---Part 17: Outpatient summary;

---Part 18: Hospitalization Summary;

---Part 19: Consultation records;

---Part 20: Referral (hospital) records.

This part is part 5 of WS/T 483.

This section was drafted in accordance with the rules given in GB/T 1.1-2009.

Drafting organizations of this section. National Health and Family Planning Commission Statistical Information Center, Tongji Medical College of Huazhong University of Science and Technology, Chinese Diseases Prevention and Control Center Maternal and Child Health Center, Hunan Province Maternal and Child Health Hospital.

1 Scope

This part of WS/T 483 specifies the document template, document structure requirements for the first prenatal follow-up service record, and the A series of constraints on the body of the document.

This section is suitable for the application of service record documents for the first prenatal follow-up.

2 Normative references

The following documents are indispensable for the application of this document. For dated reference documents, only the dated version applies to this article Pieces. For undated references, the latest version (including all amendments) applies to this document.

3 Terms and definitions

The following terms and definitions defined in WS/T 482 apply to this document.

recording.

4 Document content structure

The contents of the document are shown in Table 1, and examples of documents are in Appendix A.

5 Document header specification

6 Document body specification