标准摘要
[中文适用范围]: 本文件定义了简洁国际患者摘要(IPS)的核心数据集,该数据集支持个人护理的连续性,并协助其护理的协调。本文件提供了患者摘要的抽象定义,从而可以推导出可实施的模型。本文件不涵盖数据录入、数据收集、数据摘要、后续数据呈现、吸收或汇总的工作流程过程。此外,本文件也不涵盖摘要本身,即产生数据摘要工作流程所依赖的智能、技能和能力。本文件不是一份实施指南,不涉及应用层以下的各种技术层。各种编码方案、附加结构和术语的表示也不属于本文件范围。 [外文原描述]: This document defines the core data set for a concise international patient summary (IPS), which supports continuity of care for a person and assists with coordination of their care. This document provides an abstract definition of a patient summary from which derived models are implementable. This document does not cover the workflow processes of data entry, data collection, data summarization, subsequent data presentation, assimilation, or aggregation. Furthermore, this document does not cover the summarization act itself, i.e. the intelligence, skills and competences, that results in the data summarization workflow. It is not an implementation guide that is concerned with the various technical layers beneath the application layer. Representation by various coding schemes, additional structures and terminologies are not part of this document.
英文名称Health informatics — International patient summary