扬州市标准化指导性技术文件DB/XXX-2011扬州市卫生局信息标准化规范第一部分:医疗服务数据采集接口标准2011--发布2011--实施扬州市卫生局发布DB目录前言..................................................................................III引言...................................................................................IV1目的..................................................................................12范围..................................................................................13规范性应用文件........................................................................14术语定义..............................................................................14.1健康档案HealthRecord.............................................................14.2基本数据集BasicDataset...........................................................15医疗机构前置机数据采集方式............................................................15.1区域卫生信息平台网络架构............................................................15.2医疗机构前置机逻辑架构..............................................................25.3数据上传的内容和要求................................................................25.4医疗机构数据提交方式................................................................35.5数据上传的时间点....................................................................35.6数据填报情况表......................................................................45.7关于具有连续性数据的处理............................................................45.8采集结果的反馈和处理................................................................45.9数据表的关联与整合..................................................................45.10平台字典说明.......................................................................86门急诊诊疗服务相关数据................................................................86.1数据表关系说明......................................................................86.2门急诊诊疗服务基本表(HR_MS_OPC_CS_REG)............................................96.3门急诊诊疗服务就诊记录表(HR_MS_OPC_DIAC_REC)....................................116.4门急诊处方主表(HR_MS_OPC_PRE)....................................................126.5门急诊处方明细表(HR_MS_OPC_PRE_DETAIL)...........................................136.6门急诊收费明细表(HR_MS_OPC_FEE_DETAIL)...........................................176.7门急诊结算记录表(HR_MS_OPC_FEE_BAL)..............................................187住院诊疗服务相关数据.................................................................197.1数据表关系说明.....................................................................197.2住院登记服务基本表(HR_MS_IP_CS_REG)..............................................207.3住院医嘱主表(HR_MS_IP_DT)........................................................217.4住院医嘱明细表(HR_MS_IP_DT_DETAIL)...............................................227.5住院费用明细表(HR_MS_IP_FEE_DETAIL)..............................................257.6住院费用结算记录表(HR_MS_IP_FEE_BAL)............................................267.7住院病案首页(HR_MS_IP_HMR_RPT)...................................................278门急诊/住院公共数据..................................................................348.1门急诊/住院手术麻醉记录表...