• 2.47 MB
  • 36页

WST482-2016卫生信息共享文档编制规范.pdf

  • 36页
  • 当前文档由用户上传发布,收益归属用户
  1. 1、本文档共5页,可阅读全部内容。
  2. 2、本文档内容版权归属内容提供方,所产生的收益全部归内容提供方所有。如果您对本文有版权争议,可选择认领,认领后既往收益都归您。
  3. 3、本文档由用户上传,本站不保证质量和数量令人满意,可能有诸多瑕疵,付费之前,请仔细先通过免费阅读内容等途径辨别内容交易风险。如存在严重挂羊头卖狗肉之情形,可联系本站下载客服投诉处理。
  4. 文档侵权举报电话:19940600175。
'犐犆犛11.020犆07!"#$%&"()*+,-犠犛/犜482—2016()./%0123456犛狆犲犮犻犳犻犮犪狋犻狅狀犳狅狉犱狉犪犳狋犻狀犵狅犳狊犺犪狉犻狀犵犱狅犮狌犿犲狀狋狅犳犺犲犪犾狋犺犻狀犳狅狉犿犪狋犻狅狀2016071278201612159:!"#$%&"";()&<=)>?@A78 犠犛/犜482—2016!"!"…………………………………………………………………………………………………………Ⅲ1#$………………………………………………………………………………………………………12%#&"()*…………………………………………………………………………………………13+,-./,……………………………………………………………………………………………140123…………………………………………………………………………………………………35)4%#567…………………………………………………………………………………………36)483%#……………………………………………………………………………………………47)4901:;<=……………………………………………………………………………………58)4>01:;<=……………………………………………………………………………………79?@)4ABCDE%F………………………………………………………………………………11GHA(%#&GH)IJKLMN)4OPQRS…………………………………………………14GHB(TU&GH)ISO/HL7CDAR2)423…………………………………………………16GHC(TU&GH)IJKLVWXYZ[OID>]^………………………………………17GHD(%#&GH)IJKLVWXYZ[_`abOIDOcd………………………………19GHE(%#&GH)IJKL675efgSOIDOcd………………………………………22Ⅰ 犠犛/犜482—2016#$EahijGB/T1.1—2009klC%Fmn。Eahmnop:qrIJ-^sJtuvwY^KLxy、zx{|}~~、}~IJKL、xqW。EahX、01、83、)49-)4>01:;<=、)4ABCDE%F。Eah¢(£¤q¥¦¥P§¨©IJª@C©IJ«3、¬IJKL®ª@CKL|+¯°±²³´Cµ¶·¸¹º。2/0234+5»¼)*_£E)*C½(¾¿ÀÁÂC。þÄÅÆC"()*,ÇÄÅÆCÈE¢(£E)*。þÀÄÅÆC"()*,ÉÊËÈE(ÌÍÎCÏÐo)¢(£E)*。GB/T2659—2000ÑÒ¥q-ÓÔÕÖgSGB/T2260—2007xzM-qµ¶ÔsgSGB/T2261.1—2003×DEKLOPQgS1¹O:C&ØgSGB/T2261.2—2003×DEKLOPQgS2¹O:ÙÚÛÜgSGB/T2261.4—2003×DEKLOPQgS4¹O:¬?ÛÜ(×ÝÞ)gSGB3304—1991xq¥ßÕÖCàáâãäåæ-gSGB/T4658—2006~çgSGB/T6565—2009è?OPQgSGB/T4761—2008ré´XgSGB/T18201—2000Wê&ëìÕoGB/T8561—2001í?|+è@gSGB/T15657—1995xìîOPQgSWS218—2002IJ«3(ïð)OPQgSWS364.8—2011IJKL675efgS8¹O:ñòóôõöICD9CMq÷ëìOP9Èø+QùúICD10q÷ëìOP10ÈISO/HL721731:2006ûüKL~HL7V3ýþKLÿ!(ÈE1)[Healthinformatics—HL7version3—Referenceinformationmodel(Release1)]è?ì"HIæ#$[2002]108%36789:73.1678;<»¼+,-B&¢(£E)*。3.1.1%&"()*+,狊犺犪狉犻狀犵犱狅犮狌犿犲狀狋狅犳犺犲犪犾狋犺犻狀犳狅狉犿犪狋犻狅狀±"(©IJª@«3Z)Z*、KLMN+"CC{~、%#CIJKL:H,ɱ23®C1 犠犛/犜482—2016,-d.IJ?@MNKL01。3.1.2+,=犺犲犪犱犲狉:H©IJ?@)4abKL、OPKL、ª@/01、ª@§¨1²´)23KLC)445。6>7",ÌÍ)401C:H_`、ýQ«3,01Cú1-891:Q)4:H01³´C;<=:KL。3.1.3+,>犫狅犱狔:H)4<©IJ?@KLC>×01?-ah。@701d.C23®-RS®AB,)4>ÁO+C×D¦。3.1.4+,?@狊犲犮狋犻狅狀EXMLRSCÁFCGH&d.()â、d?:)。I,JKLMNÁ±³ZOP,QÁ±ÌRSH&01-)4T"。3.1.5+,A!犲狀狋狉狔ú+^U«ÁbØC23®a:)4VÌRWJKx,X×JKÁÌR0YZ×T",X×T"ÌRÁÌR>שIJ?@[H,©IJ?@[HE>ïÁC©IJ23:Hï]3^。3.1.6BC犲犾犲犿犲狀狋XML)4xEm_-2`aaabC>5cÕXML)E,5dÕÖ¾³½Cÿ!xCPÕe67f&Õ。@7W3CXMLah,5dxÁ±ÌRÉg5d,ÎIQÖh_5dCi5d。3.1.7DE犮犪狉犱犻狀犪犾犻狋狔B&¡*e5dWjBCpklÁ±mnloCp6CÊq-Ê}e。rs,1..tuvÊÂC*(mn)¾1,7ÊZC*(mn)¾wxC。3.1.8FGHIJ狅犫犼犲犮狋犻犱犲狀狋犻犳犻犲狉;犗犐犇Eq÷ah®ïð(ISO)-q÷yK)z(ITU))]ABCab%F,(£%BKL{¸XY²|}*KxC6â_`~>ab,æ,ÉGH_`¾6ÎÕÖabCKL、B&e1%#。_`½6×:Áab®;]æÄ。ÉabcÕ%#½]Fd.-:[02](\.(0|[19][09]))。OIDab¾>×BÀ64×âC6âP!ab。3.29:7»¼./,¢(£E)*。XML:Áa:,"(eXtensiblemarkuplanguage)MIME:Z(Z)|*(multipurposeinternetmailextensions)W3C:Z)|)z(worldwidewebconsortium)OID:_`ab(objectidentifier)RIM:ýþKLÿ!(referenceinformationmodel)ICD:q÷ëìOP(internationalclassificationofdiseases)LOINC:jaabcÕQRSXY(logicalobservationindentifiersnamesandcodes)CDAñò)483(clinicaldocumentarchitecture)2 犠犛/犜482—20164KLMNIJKLMN)4%#ÌÍRA%#-¥×6>?@_½C)4%#。6>C)4%#MN>×ÿ,ÿEÝÀú+ahC>¹O。6>)4%#C01ÂE10¹O3^(1)。O1+,/0KLNP5+,/0BEQ5.1+,/0RSTUIJKLMN)4%#(d1C?-µGH。V1%&"()*+,/0BEQ567i567567eIJKLMN)4%#ÕÖIJKLMN)4%#abIJKLMN)4%#$,-opÕÖabKLi´IJKLMN)4%#,IJKLMN)4%#OP-P"ÕÖIJKLMN)4%#¡<01KLiIJKLMN)4%#6755.2+,/0HIJ-W/XIJKLMN)4%#ab(âã6â¢]S,23+:IJKLMN)4%#P"RS(HSDCC)_ÈEab(VI)Éx:3 犠犛/犜482—2016a)ÈEab(VI):23E4¹Oï^,+“V”+“m..m”+“.”+“n..n”。Éx,“m..m”-“n..n”+£¤¥6â3^,W6~l½¾6Ît&C¦6。“m..m”dbÈE%,“n..n”dbpÈE%。s§JKeT"¨Ë!©Á±µÎªC67«¬,F¨Ë©ÈE%À,pÈE%:£®!pÈE%¯1;s§JKeT"¨Ë!©wæµÎªC67«¬,F¨Ë©ÈE%:£®!ÈE%¯1,pÈE%°0。b)IJKLMN)4%#P"RS(HSDCC):±IJKLMN)4%#OPRS。(B9pCâã6â¢]S。i?@²fgS、>¦P"gS、³¦P"gS、´µ%¬¶·¸´µ¹¼。232。º»:?@²fgS———(3p}å¼)âãdb。IJKL²fY>(HSDdb。>¦P"gS———(1p}å¼)âãdb,¬AV_´µRS。³¦P"gS———(2p6âdb,6â}qwR&。sÎ×±lP"(R×),¬01V_´µRS。s½Î>×P",R+00。´µ%———(2p6âdb,gd¾³¦P"»CIJKLMN)4%#µ%,6â}qwR&;¬01V_´µRS。´µ%Q³¦P"gSLM¯“.”ÔO。O2%&"()*+,/0Y!-W(犎犛犇犆犆)MNIJKLMN)4OPgS¿GHACA.1。IJKLMN)4RS>X¿GHACA.2。6+,ZN/06.1+,ZNE)*jC)483¾À_IJµ?yi«¬)47ABC>P)4a:,"²%#,"C¾Á©IJ²fÂ3XYLMÃÄW,&Dµ)4«¬-MN。)483%#¡)4CÊDEC*(23-,&。)483%#ÅÆq÷lÇÎC^È)483ahISO/HL7CDAR2(ýGHB),I2]Éq©IJÊ÷,µEË®Ì`-¢®,±¢]-%#Éq©IJÍλCIJKLMN)4CMN-«¬。IJKLMN)4E)49、)4>ï^,Éx)4>ÏE)4JK-)4T"ï^。6.2[]^)483EÝ¢]£ÐÑCIJKLMN)4,¾IJKLMN)4*(CÊDECÌ`-%#。6>?@)4C23-01F¾*ÿ_)483Ò¯>ÓCÌ`-%#ÔÊoC。ÿ¾_)483µ23-,&Ì`C%F,7%F@7?@)4ÕÝC23-,tÖ^>×ÁØÙ、OP-n(Cÿ。4 犠犛/犜482—2016ÿ%#¡_)483ÿ!¤¹e¹OCÌ`,ÌÍ23&Ì`、67P!Ì`-675efÌ`。ÿB&¡Ì`©CIJKLMN)4C01d.ÿ!。Ò¯W)483lCÿÖ^¡ÀD¦P!Cÿ。@7IJKLMN)4C23,ÿÁ±O+ÀCP!,ÌÍ:)4ÿ、JKÿ、T"ÿ。)4ÿÚ»¡>ïÒ¯£IJKLMN)4CÌ`,ÛÜÝ)4CÞæ-,&ßMà.Y>×áqC#$âãB³½Cñò½(B&,)4ÿ%#Ì`¡¾P?@)4½äÌRCJK-T",7VÌRCJK-T"C6>23-,tFE³½¦ØCÿÔÒ¯>ÓCÌ`-%#。JKÿ%B_IJKLMN)4CJK¹OCÌ`,ÌÍJKx"(Cñò,Þÿ!(T"ÿ)。s§>×JKÀ"(ÐÑT"ÿ,FäJKÀ<=CDpC)401。JKÿÁ±OPB&,dbJKxCiJK。T"ÿ%B_ñò,Þÿ!CÌ`,(±d.íºB&Cñòåæ,rsñòçè、(é::。T"ÿ(£JKÿx,+JKxC)âSH01§¨«êÁ{¸Cd.。T"ÿÁ±OPB&,(ëoñò,Þ3^n]ñò,Þ。6.3+,_`D£ÀCÿ%#,ÁÊoÀCIJKLMN)4C)4:¦,sd2b。V2%&"()*+,a+,_`)4:¦º»:¦1Ç_)49ì%#&Ì`,)4>(í23®d.CMN)4:¦2)4>(JKÿµ%#&Ì`-RSCMN)4)4>ÀÇ(¡JKÿµ%#&Ì`-RS,7î_¹OKLe¤¹KL(T"µ2:¦33®RSCMN)4IJKLMN)4ïðÀ)4:¦C)4,6>?@)4:¦@7?@01ñB,W¥×6>C)4%#xº»。7+,=KLbcde7.1fg2]^)49?-(W3CCExtensibleMarkupLanguage(XML)1.0ÔGH,)483ýþÅÆHL7CDAR2ñò)483。)4Ú»¹O+:〈?xmlversion="1.0"encoding="UTF8"?〉)4@5d¿ò+ClinicalDocument,)4óôcÕßM¾urn:hl7org:v3。s»b:〈ClinicalDocumentxmlns="urn:hl7org:v3"xmlns:xsi="http://www.w3.org/2001/XMLSchemainstance"〉I,ÉgCcÕßMÁ±¯õ,±ÊoCDAR2ÿ!CEË®B&。WÐÑöÜ»,ÿ!xC5d½»ñdbW%BCcÕßM“urn:hl7org:v3”x。IJKLMN)4x,Á(cÕßM“xmlnx:pchis”db_hÎahcÕßMCEË®。)4¢(#$gS(ClincalDocument.realmCode)f&÷eÔÅÆHL70¹RSXY,Éed.ä)4BC¢(#$。IJKLMN)4Ì`:〈realmCodecode="CN"/〉db)4¢(£xq。)4KLÿ!PØab(ClincalDocument.typeId)f&½lo,7î½Ãlo>p,67P!+5 犠犛/犜482—2016Ⅱ,Ée]Bs»:〈typeIdroot="2.16.840.1.113883.1.3"extension="POCD_HD000040"/〉7.2hiEQè67<¾j)4:HCB01-_`。É6>01<øù)4ÿab、)4úû%、)4OPgS、)4aè、)4:H_`:ab¾×)4Êr(Cÿ。äf&Á±loZp,s§mnlo,d.ÿLMCüiØÙ´X。)4úû%ab(ClincalDocumenti.d)f&db>Þ)4ÊrC>×~>Êrab%。ä5dCrootf&(id/@root)½¾>×]æC、BÀ64×âCOIDe。®rooteÃ~>ab_`I,extensionf&ÀÃýp÷e,®rootÀÃ~>ab_`I,(root-extension2]C,-Ô~>ab¾×_`×>,öÜ¢]_¾>«30¹R%µOIDRS,þsroote(£jB¾×«3CRSXY,extension(£ÿ!«30¹RS%Fe。)4P!gS(ClincalDocument.code)f&½lo>p,RS"B+CWE(Coded,WithExtensions),±#$(HL7L%CRSXY。IJKLMN)4Ì`:〈codecode=""codeSystem="2.16.156.10011.2.4"codeSystemName="IJKLMN)4RS>X"/〉。)4aè)E(ClincalDocument.title)f&(£d.)4aèKL,67P!+ST,äf&÷e,½W6>)4Êrxlo,>&öÜ»MN)4À"<>×)4aè,(+)4aèÁ±*ClinicalDocument.code5dCdisplayNamef&e"(lÔ。®)4aèEñòJÕ)*,e1)4aè"<>×B,λíÎaè,×I+äf&"<Á(。aèCÕÖÀÃQClincalDocument.code÷e01³,-。)4:H_`(recordTarget)5d½loÂ1p,(£d..)4C/1KL,*0>ÞMN)4Î>×»ñC:H_`,s§)4:H_`¾Z×CI+,f£1öÜ。7.3jkEQ·¸6701øù)4*1、)4891、)4û·1、ÉgýQ1、)4*IM:KL。Éx,)4*1、)4891、)4û·1-è67xC)4:H_`2f£)43/ýQ1,±ÀC,-ýQY)423xC23®KL。)4*1(author)5d½loÂ1peZp,>Þ)4Á±EZ×*14^,I*1Á±¾、]e15*XY。)4û·1(custodian)¾67·¸89IJKL)4C«3eïð。XÞ)42½Î>×ñ:Cû·1KL,þsü;4,±EÝ。æB891(legalAuthenticator)d._)43/mYæ?ª½CæB891KL;)4891(authenticator)d.)4@¡>BC89,AB.Y>BCæ?ª½,>Þ)4Á±ÎCYZ×891ýQ。ÉgýQ1(participant)(£d.ÉgBλñýQ,-CýQ1KL。)4*IM(ClincalDocument.effectiveTime)f&d.MN)4V>p*lÔCIM,67P!+TS,äf&÷e½W6>)4Êrxlo。®)4¾ED%>?-C)4E¬7ÔI,äf&d.CIM½¾h?-)4V*CIM,7í)4E¬IM。)4,"gS(ClincalDocumentl.anguageCode)f&d.)4(C,",67P!CS,gSe÷HL70¹RSXYcodeSystem="2.16.840.1.113883.6.121",(£dbMN)4ÊrxÁ(C)6 犠犛/犜482—2016â,"。〈language〉5dCe½db^nnCC?-,Éxnn+ISO6391ahx%B³×qå¼)âC,"S,CC+ISO3166x%BC³×}å¼)âãCqr(ÓÔ)S。IJKLMN)4Ì`:〈languageCodecode="zhCN"/〉db)4(x),"。7.4lmEQ´)67KL¾*23´)PActRelationship,ݳ´C23KL´)YE)4Êrx,s;F*、{,、Göt。´)676>01<øùª@、ü)4、;F:23KL。Éx,ª@(ServiceEvent)KLm<©ª@23,þs2HIõöeJH:Kø+:mÓGH,þsClinicalDocument.codef&d.MN)4+>Þø+MN,7E¹Oª@KLFwd.µ¡>JH:Kø+。(.¾ABl¾_)4P!C6>®GH。ü)4(ParentDocument)KL×eO×PÆÏQC)*,e1¾R¯KLL!ÈE)4,e1¾PÆíCDA?-Ch_)4KL,Éxü)4675dParentDocument.textC67P!¾ED(HL7V367P!),ä5d#$ÿWü)467Á±¾MIME?-,(.³ARSCü)467SÀÃVÿ!d.。;F(EncompassingEncounter)KLd.ä)4:H01¾ÔT£UVWC;F237XJC。>&öÜ»,/1C¾p;F,wXJ>X¼C©ª@23,7¾×)4½ÃÔT£¾p6>C;F。8+,>KLbcde8.1nMNo+,>WIJKLMN)4x,)4>C6>01KLY¾@7Ê÷?@öÜ7(³¦eC¦C23。±³¦-C¦Á±Mÿ,ZO>o¡)483C[2&、Áùú&、ÁÓ&。íXML)4>(nonXMLBody)db>×ÀÁ(XMLC?-C)4>。NonXMLBody.text*0(£"(ÿ£IJKLMN)4%¹C67eEݾRSCKL。]V>ÞíXMLC)4>"<>×ÃÄbØBRS(MIME)PC5*^6。723®)4>(StructuredBody)dbE>×eZ×)4JKï^CIJKLMN)4。8.2MNo+,>8.2.1?@bpKL)4JKÁ±OP´),Á±_ùâmå)49C01,QÁ±ÌRSH&C01-T"。JK¹O<:;JKCÿR%、JKEÝOPgS、JKGH&KL((£ÊoÁF):×ñò[H。JK<"<:HCKLÎJKgS、JK)E、JK´):。Éx,JKgS(Section.code)6>º»JKBPCgS(s`、XY89、ab);JK)E(Section.text)(£ÿ!GH&C01,QVÖ+IJKLMN)4NarrativeBlock;3*(Component)(ÔW>×JKxOPD>×JK,,ÎcdVOPJK。8.2.2A!bpKL8.2.2.1bpdeT"ú+^U«ÁbØC23®a:)4VÌRWJKx,X×JKÁÌR0YZ×T",X×T"ÁÌR>×ñò[H,ñò[HE>ïÁC©23:Hï]3^。©23:HÁ±*T"7 犠犛/犜482—2016´)µZ¦COP。É<ÌÍñò、ef、gf·¸、¨½、ùú±²Ég23。X×[HÁ±*"(ÊoQÉgC23´),C23ÌÍ、A、)4。Xש23:HK¡ÕÝÎCf&±%ÁÃ:H>X¼CýQe³´C23。ýQÌÍú1、Hõ、è、hµ1、WE²ÉgýQ。_£gT·¸²¨½23,AÁÃÌÍije¨½:ýQ。³´C23ÌÍk7、"(²T"´)。ñòAÌÍ"(#$。JKQT"LMC´X*ÇRST"C23´)(ActRelationship))/。T"¹O<:;T"CÿR%、T"EÝC6>©23P!、gS²_½Ce、©IJ23CýQ1:KL。)4T"Á±ÎÀCýQ1,ÉxÎQE)49¹B&。¬)49¹xnACýQ1ÁW>xVmå。T"Chµ1(performer)¾>×hµeS×BCµ+C。hµ1À"<¾6<7ÐCýQ1。s,>×%{lmWýQC%{J#n»µø+,g¾>×hµ1。8.2.2.2A!qr8.2.2.2.1stuvñò(Observation)oJ£RIMObservationP,(£dbÇRSCeÉgCñò。®ÝObservation.negationInd]+“true”I,¾¦×ñò(Observation)ú+¦>VpBCÚ»。>f&sObservationi.d,Observation.moodCode-ýQ1:À0pBÚ»Cqr。f&¾6³R&。rs,ú1ûsVpBCñò。>×tpBabCñòuv¾ñòC6>ÊGH。spBC[H“W7w1%$oxy”tuv*1»ñÓpBW7w1Å$Jxy。+¡WC[H-WC"=,gÙzWC7ÐÔÁ(î7î»ä[H,KígBÎÁ(pB。8.2.2.2.2lwxy´Ä¹pRegionOfInterestoJ£RIMObservationP。Û*aÄ>×ÖÛÔdb>{C´Ä¹p。´Ä¹pRegionOfInterest(£dbýþ{xCBÔf,rs*W>btxC¾×Ôf“|}~”ÔjB>×g¸$o¹p。WRegionOfInterest.valuexCaop¾{d,E>צ6¼dÔd.。m_W¶l,·¸dbXe+,·»dbYe+6。´Ä¹pRegionOfInterestP-ÛC"(efObservationMediaeExternalObservationLMC´)OØ*çT")XentryRelationshipe"(PÔjB,ÉxtypeCode]+"SUBJ"。RegionOfInterestP½hñ"(>×ObservationMediae>×ExternalObservation。s§RegionOfInterestP¾〈renderMultimedia〉"(C"a,F½"<"(>×ObservationMedia,7À"<"(ExternalObservationP。>×XMLIDP!CXMLf&"ID"V¯)4SchemaxC´Ä¹p(RegionOfInterest)。äf&ú+〈linkHtml〉ýþja。ÎXMLIDP!Cf&eW)4x½~>。8.2.2.2.3z{jkgf·¸(SubstanceAdministration)oJ£RIMSubstanceAdministrationP,(£dbé³´C*,þségL©e1^sxCég·¸。®SubstanceAdministration.negationIndf&Ce]k+“true”I,dbSubstanceAdministrationú+>צ>SVpB。>f&sid、moodCode,±²ýQ1âÀ0qr。f&2γCt&,rs,ú1uv¾pB©CSubstanceAdministrationPCú1。>×6ÎnegationIndf&Cgf·¸CÚ»kv¾ESubstanceAdministrationPGHÊC>×Ú»。rs,>×pBC“£8 犠犛/犜482—2016·¸”tuvú1ñÊpBég£¾V·¸C,s§ú1BÎ(pB!C,ú1Q"<_äÚ»6WC7Ð-"(WCî7<=。f&SubstanceAdministration.priorityCode_gf·¸C¦µ¡OP;f&SubstanceAdministration.doseQuantitydb¡XxRZÂég;f&SubstanceAdministration.rateQuantityÁ(£dbV·¸Cû(sÄêCú);f&SubstanceAdministration.maxDoseQuantity(£W>×jBIM5ÃÁ(CÊ}ég(s,CXÅÊ}Á(,£dCÊÁ(IM);f&SubstanceAdministration.effectiveTime(£GH·¸CIM。äf&Á(GTS67P!Cÿ!,±]ÀCöÜ。8.2.2.2.4|}¨½(Supply)oJ£RIMSupplyP,(£db>×Ê>_D>Ê>CU¨½。SupplyPgdc¨½,SubstanceAdministrationPgd·¸。{,P¾ÌÍ·ì§lʵ=Cn23(s,Xª0.125mgÓ)-_éC¨½=(s,c30×é4,²5׬é4)。MN)4x,×PEÎSupplyT"ï^CSubstanceAdministrationÊ>db,OPCSupplyT"Á±ÁSupply.independentIndf&e]+“false”,±dbäSupplyÀáÿW,s§ÛÀÌRSubstanceAdministrationC。8.2.2.2.5~ùú(Procedure)oJ£RIMProcedureP。®ÝProcedure.negationInd]+“true”I,¾Procedureú+¦>VpBC¢BÚ»。>sProcedurei.d,Procedure.moodCode-ýQ1:f&À0qr。f&¾6³R&,rs,*1uv¾VpBCùúProcedureC*1。6ÎnegationIndCAµ[Huv¾>×´£EProcedureGHCBÊC[H。rs,pBC[H“hµ£¤:K+”tuv*1»ñÓpB¥@hµ£¤:K+,_£WC[H-³C"=,gÙz³C7ÐÁ(î7î»ä[H,KígBÎÁ(pB。8.2.2.2.6;F(encompassingEncounte)oJ£RIMPatientEncounterP,(£db³´;öÜ,s©¦§çeýþ¨C;F。D%,W)49xCEncompassingEncountePdbW)4:Hµ+$JÆMCñò;FÍÎ,7W)4>xCEncounterP(£dbÉg³´;F。8.2.2.2.7qr23ï](organizer)oJ£RIMActP,Á(£*MN>×,"ÍÎCÉg)4T"CÐtï]。*çï*´),>×23ï]Á±ÌRÉg23ï]±²Ég)4T"。*çýþ´),>×23ï]Á±ýþ%¹µ3。>×23ï]ÀÃ^+entryRelationship´)CÔT。23ï]Îï],-,>¾ï(classCode="BATTERY"),jjB>ï©23,23Weg¸lγCñòe©Ã"a,rs(+Õ3®ùúVï]W>m;³¾](classCode="CLUSTER")³´C>ª©23,ÁÃÌRZ×ñò23。8.2.2.2.8qrÉg23(Act)oJ£RIMActP,®Ég¨ZBPÀ¢(IVÁ(。Ég23gSd3。®ÝAct.negationInd]+“true”I,¾Actú+¦>VpBC¢BÚ»。>sAct.id,Act.9 犠犛/犜482—2016moodCode-ýQ1:f&À0qr。f&¾6³R&,rs,*1uv¾VpBCActC*1。6ÎnegationIndCµ3[Huv¾>×´£EActGHCBÊC[H。rs,pBC[H“W7w1%$oxy”tuv*1»ñÓpBW7w1Å$Jxy,+¡WC[H-WC"=,gÙzWC7ÐÔÁ(î7î»ä[H,KígBÎÁ(pB。V3qrW23gSgSB&ACT(23act)©ü;ª@l«¾>§¨kPersoneÉgLivingSubjectCª@,Éx+>§¨>×Á¬ACCM(l«accommodation)l>5IMCÓ,CONS(tconsent)dbGöt±²/1(e]æ#9)-§¨1LMCÉg]æ©«®CTTEVENT(IM*¯Bhµ(B&,°)eÇ@hµ(*,°)>×eZ×3úCñò±²Axclinicaltrialtimepointevent)C>×ÁabCIMINC(³incident)$JW³´>,eZ,Á´#$L%C*,ÌͳCåæINFRM(*Ginform)cdKL-¸è(e=KLVcd)Cµ3PCPR(ûü¨½careprovision)/19¸ª@´Ä×>/1e/1>©ûühµ1C7ÐREG(Äregistration)db_ÄXYxCÊ>eµCKLµ89Cµ3SPCTRT(aE{¸specimen_h(£O¶CWEµCAµe{¸treatment)8.2.2.3A!lm3*(component)C´)Á(>×23ï](organizer)ú+T->×ÉgC)4T"ú+"a,âî@0V(£Á(23ï]*)4T"ï]。!§(precondition)¾¬ActRelationshipPoJlÔCpreconditionP,@0-criterionP>mÔd.>×T*,äT*¿òW>23$JL!ûðtrueÛ·。)4xRÎÁbØC、ÿ-®C、ZZWC¸/-"(<=。<=W,&lÁ)4T"¸/Y>Þ)4xCÉgT"(*entryRelationshipP)e1%¹)4C_`(*referenceP)^+ÁÃ,23´)d4。V4qrlm23´)P!TQ"aT"ÄCAUS(ì(is[Act|Observation|Procedure|SubstanceAdìT。(ÔdbÔT¹^"aCºe。etiologyfor)ministration]CAUS[Observation]s,»¼ì(ÔT)¾½¾ëì("a)Ch([Act|Observation|Procedure|SubstanceAdCOMP(ï]hasministration|Supply]COMP[Act|ï]5d。db"a¾ÔTLï]5d。component)Observation|Procedure|SubstanceAdminiss,¿ÀÁ¾“¤¹¿Â6”Cï]tration|Suppply]GEVL(aÃ"a[Observation]GEVL[Observation]ab"aevaluates(goal))10 犠犛/犜482—2016V4(¦)23´)P!TQ"aT"ÄMFST(doisdo。s,ÄÅÆ(T)¾ÇÈÉÊ("[Observation]MFST[Observation]manifestationof)a)Cdo[Act|Observation|Procedure|SubstanceAdministration|Supply]REFR[Act|REFR(ýþrefersýj。®´)ÎáZC,&À»ñI,(£Observation|ObservationMedia|Procedure|to)dbTQ"aLM*0C´XRegionOfInterest|SubstanceAdministration|Supply][Act|Encounter|Observation|Procedure|RSON(¸EhasSubstanceAdministration|Supply]RSONreason)[Act|Encounter|Observation|Procedure|h(。(£d»>ª@C¸ESubstanceAdministration|Supply][Act|Encounter|Observation|Procedure|SAS(V_startsSubstanceAdministration|Supply]SAS[ActV_。T23V_£"a23V_©。s,afterstart)|Encounter|Observation|Procedure|Sub$Ë(T)V_£ÌÍ("a)V_©stanceAdministration|Supply]SPRT(ïð[Observation]SPRT[Observation|Observaïð。(£d»"a+ÔT§¨î7ïðhassupport)tionMedia|RegionOfInterest]SUBJ(>[Observation|RegionOfInterest]SUBJ[Ob>。(£Ý´ÄÔf(T)´)Yq{ºhassubject)servation|ObservationMedia](T),eÝ>º´)YºC>l¡H。(£º»T67¾¡Õ£"a67。¡HQKL§¨1CÔØþáÿÎ,þs:H/1C(éI,ñòmÁ¬KL§¨1Ï[Act|Observation]XCRPT[Act|XCRPT(¡HÕÐ,QÁ¬Ég^U«XY{¡HÏÐ。>×Observation|Procedure|SubstanceAdminisisexcerptof)KL§¨1(eKLCÔT)¾>ק¨³´tration|Supply]KLC。>×KL§¨PVÌÍW)49¹x,âÁW)4>Vmå。7>סH¾>Ég23Ci¹O9+,.;aD/X9.1%&"(犗犐犇/XWIJKLMN)4%#x,~>_`abÁ(IJKLVWXYZ[OID,(£~>ab«3、ïð、RSXY:_`。IJKLVWXYZ[_`abOIDC]^QOcGHC、GHD-GHE。9.2+,"([、EQBCa]^2RS)4JK、T"-5dC“Ì`&”GH%Bd5。11 犠犛/犜482—2016V5+,?@、A!8BCa]^2RSµ%gSÌ`B&¿CJK、T"e5d。_675d7",¿"C675dd»ä6RequiredSection/75d½äV§¨,s§KLÁ±ÏÐ,F675d¿"lo,s§KL1REntry/ElementÀÁÏÐ,eÀVc,F½(HL7B&CßeR&ÔjlBÎ67Ch(OptionalSection/Á,ÁJK、T"e5d。2OEntry/Element>×Á5d¾Á±§¨C,QKL¾pÁ±ÏÐw´3CConditionalSection¿<&:T*¿,]BT*I¿CJK4X¿<&:ÑÒ,5dWÿxÀ#$VÁ(9.3+,/0aRS/X9.3.1+,KL"([PRSTU)4K¡)49¹O;¾)4>¹O。)4>¹OE)4JK-)4T"3^。)401ÌR¡)43^、KLÿY、D6:,GH?-d6。V6+,KLNPRSTU)43^KLÿYD69.3.2+,=BCRSTU)49ÌR)4abKL-OPKL,±²)4C,ÎKL,s)401C:H_`、ýQ«3、Q:H01³´C;<=:。)495dGHÌÍ5dÕÖ、Ì`、º»QGH、_½C675ab:ï^,GH?-d7。V7+,=BCPEQBF}lRSTU5dÕÖÌ`º»QGH_½C675ab9.3.3+,>RSTU)4>JK3^GH?-<ÌÍJKÕÖ、T"ÕÖ、D6-Ì`ï^,GH?-d8。V8+,>?@NPRSTUJKÕÖD6Ì`GH12 犠犛/犜482—20169.3.4?@A!NPRSTUJKx_T"CÁ(<=(d9?-µGH。V9?@A!NPRSTUT"ÕÖD6Ì`GH9.3.5?@BCPRSTUJK5dGH?-<ÌÍ5dÕÖ、f&、D6、Ì`、GH-_½C675ï^。É(d10C?-µGH。V10?@BCPRSTU5dÕÖf&D6Ì`º»QGH_½C675ab9.4EQBCa"/08/0À_?@)4,m%#¡É«F¹O01。Éx,675dLMCD¦´X(%“|”db。_£RS!675d,Á(xqEÓ®gS。ÁÁ(CIJKL675efgSdGHE。13 犠犛/犜482—2016p犃(/02p)%&"()*+,Y-W犃.1IJKLMN)4OPgSdA.1。V犃.1%&"()*+,YW>¦P"ÕÖ>¦P"gS³¦P"ÕÖ³¦P"gSDEKLA—00ÔÕûü01Ö×ûü02ÓMIJBëì´A03ëì·¸04©ª@C—00©ûØD—00Ù]·¸E—00犃.2IJKLMN)4RS>XdA.2。V犃.2%&"()*+,-W>)4ÕÖRSü;4õHSDB01.03ü;4õHSDC00.0114 犠犛/犜482—2016V犃.2(¦))4ÕÖRSü;4ï^,)4>*JK-T"ij>BC23ï]7^。¦×)4ÌRW〈ClinicalDocument〉@5dx,ÌR>×)49〈head〉->×)4>〈body〉。)49p£〈ClinicalDocument〉5dQ〈structuredBody〉5dLM,ñB¡)4COP,§¨¡ÆBKL、0§67、/1、§¨1:。)4K¡)49¹O;¾)4>¹O。)4>¹OÌÍ)4JK〈section〉-)4T"〈entry〉。)4JKÌRW〈section〉5dx。X×JKÁ±ÌÍo×GH&01¹O,QÁ±ÌÍÐt6C)4T"Q%¹C"(。)4GH&01¹OÌRW〈section〉5dxC〈text〉5dx,Û¿òÌÍSäoCÁF01。W>×)4JK,GH&01¹OdbäoC01,7)4T"gd+¨¦^U«{¸(såæïð½()§¨C23®01。ç!C¾,)4T"RS³JKCGH&01¹OdbC01。)4T"〈entry〉Á±OP,Á±"(%¹_`。)4%¹"(@0loW)4T"C01x。%¹"(jÀWä)4xC01,þsÉgC{,ÉgCAe1ÉgCº。Ê÷l,CDAEݾXJ6>ñò)4C*(Dè&23。Û"<À_6>C)4«¬Zùú½("a>Ó%#(profiling)。éPê£XML01?-(scheme)-XMLahC´X。DECCDA%#,æ¾_CDARIMÿ!Ò¯Ì`:a)Ì`CDARIMÿ!C23。Ìͬÿ!xëK¾(ÁC)RIMPexB¾PW¾×´)xì(cardinality)。rs,>×CDA)4ÿÁÃwxA#$COPJKCD6。W:¦2C)4x,À#$WÐÑJKxÿWÐÑñò[H。b)Ì`RIMPC(Á)f&。Ìͧí¾ÁCRIMPY¿òÌÍW¾×ÿx,e1ëK¾(ÁC)f&(À#$ÛÜloWäPx)。c)Ì`RIMPf&C67P!-ef。ÌÍ(>×6>C67P!g>×*(C67P!,e1+¾×f&%B>×ÎxC÷e#$。RSf&CefÁÃVÌ`Y¾×BCdeâç。rs,ÎCIHEJKÿSJKgSf&xAY¬LOINCRSXYxîC>×i。16 犠犛/犜482—2016p犆(2p)%&"(犗犐犇>犆.1%&"(犗犐犇w¡犆.1.1w¡¢N£¤_£ÉqIJKLVWXYZ[OIDÄ·¸^ú,EqrIJKLahí?uvwWqrOIDÄxyïÄ@OIDDèlµ°·¸-89。6>·¸^úEÉð{ñòop-qrIJ-^sJtuvwY^KLxy67。犆.1.2%&"(犗犐犇a¥¦w¡OID¾qrKL|+²³´²fCm§ö÷COID]^QOcÎô£KLMN、øùÁÃCúû。*_IJKLahQ%#AAxü²C_`、IJKL?@0ø-?@ýÒµþ¸,ñBÉqIJKLVWXYZ[_`ab½O+P!:Á89COID-ÿBCOID。qrOIDRS>Xx,IJKLVWXYZ[OID>X@OID“2.16.156.10011”»OIDOc,P_`,7_`C6>RSEÊ÷?@¹ºe·µ¶«3ÔñB-%#。>PCOID<(WÊ÷?@)4ab、/1ÝÞab、l%ab、ì¸%ab、aE%ab::。ÿBCOID¾j*ÛÁ±3/BpY¾>6>_`l,<(£ab)4ÿ、RSXY、efgSd:_`。犆.3%&"(犗犐犇ª«jk_£IJ²fCIJKLVWXYZ[OIDCÄQ89·¸^ú,EÄopqrIJKLahí?uvwð{ñòopqrIJ-^sJtuvwY^KLxy676>·¸^ú,W·qrOIDÄxyïÄIJKLVWXYZ[OIDC@K©Ùz¿"C·¸%#。D£®!!®ÐIJKL®]_OID>X]C"#"=,½÷“>%s、OÓÊÒ、m-$”Cæ/,k7KOcC>X83,4^ÉqIJKLVWXYZ[%"OIDCOc-Ä,âW.Dèl>ÓD£IJ¹Ù]·¸KL=,&IJKLVWXYZ[OID¶XY,+¥ÓIJXY§¨%#®·¸-ª@。18 犠犛/犜482—2016p犇(/02p)%&"(FGHI犗犐犇§V犇.1IJKLVWXYZ[OIDC>OcdD.1。V犇.1%&"(犗犐犇a>§µ%OIDGHÄ12.16.156.10011IJKLVWXYZ[OID@22.16.156.10011.1Á89_`@OID32.16.156.10011.2ÿB_`@OID犇.2Á89_`OIDOcdD.2。V犇.2¬ª«FG犗犐犇§Vµ%OIDGHÄ12.16.156.10011.1.1Ê÷?@)4úû%ab22.16.156.10011.1.2ü;4¦P"³¦P"OIDGHÔÕûü2.16.156.10011.1.1.1.1ÔÕûüÊ÷?@)4@OIDÖ×ûü2.16.156.10011.1.1.1.2Ö×ûüÊ÷?@)4@OIDÓMIJëì´A2.16.156.10011.1.1.1.3ëì´AÊ÷?@)4@OIDëì·¸2.16.156.10011.1.1.1.4ëì·¸Ê÷?@)4@OID©ª@2.16.156.10011.1.1.2©ª@Ê÷?@)4@OID©ûØ2.16.156.10011.1.1.3©ûØÊ÷?@)4C@OIDÙ]·¸2.16.156.10011.1.1.4Ù]·¸Ê÷?@)4@OIDÌÍé·¸犇.4ÿB_`OIDOcdD.4。V犇.4¯;FG犗犐犇§µ%OIDGHÄ12.16.156.10011.2.1ÿC@OID22.16.156.10011.2.2IJKL675RSXY@OID32.16.156.10011.2.3IJKL675efgS@OID42.16.156.10011.2.4IJKLMN)4RS>X20 犠犛/犜482—2016犇.5ÿabOIDOcdD.5。V犇.5[HIJ犗犐犇§µ%OIDGHÄ12.16.156.10011.2.1.1)4ÿC@OID22.16.156.10011.2.1.2JKÿC@OID32.16.156.10011.2.1.3T"ÿC@OID犇.6IJKL675RSXYCOIDOcdD.6。V犇.6%&"(EQB-Wa犗犐犇§µ%OIDGHÄ12.16.156.10011.2.2.1IJKL675"H22.16.156.10011.2.2.2*+¬ü;4OcdE.1。V犈.1%&"(EQBW犗犐犇>§µ%OIDGHÄ12.16.156.10011.2.3.1CV¦CIJKLefgS@OID22.16.156.10011.2.3.2-¼õCV¦CIJKL675efgS@OID32.16.156.10011.2.3.3(YCqa¦efgS²ICDgSC@OID42.16.156.10011.2.3.4KIJKLah%CIJµ?efgS@OID犈.2CV¦CIJKL675efgSOIDOcdE.2。V犈.2犆犞`a%&"(EQBW犗犐犇§µ%OIDefgSdÕÖgSdR%12.16.156.10011.2.3.1.1ÝÞî*PØgSdCV02.01.10122.16.156.10011.2.3.1.2lJ(O.)ÓPØgSdCV02.01.10232.16.156.10011.2.3.1.3àáÓPØgSdCV02.01.10342.16.156.10011.2.3.1.4cßì/1°fgSdCV02.01.10452.16.156.10011.2.3.1.5¿/´XgSdCV02.01.20162.16.156.10011.2.3.1.6cßì/1è?gSdCV02.01.20272.16.156.10011.2.3.1.7ré012õgSdCV02.01.20382.16.156.10011.2.3.1.8rß34Ùc1QE´XgSdCV02.10.00192.16.156.10011.2.3.1.9567Ò,-gSdCV02.10.002102.16.156.10011.2.3.1.10O.,-gSdCV02.10.003112.16.156.10011.2.3.1.11lJ89Ô2:gSdCV02.10.004122.16.156.10011.2.3.1.12N;0ëìPgSdCV02.10.005132.16.156.10011.2.3.1.13<=Û·gSdCV03.00.101142.16.156.10011.2.3.1.14V3<==nPgSdCV03.00.103162.16.156.10011.2.3.1.16?@ABgSdCV03.00.104172.16.156.10011.2.3.1.17?@PgSdCV03.00.105182.16.156.10011.2.3.1.18?>PgSdCV03.00.106192.16.156.10011.2.3.1.19?>CDgSdCV03.00.107202.16.156.10011.2.3.1.20?>ABOPgdCV03.00.10822 犠犛/犜482—2016V犈.2(¦)µ%OIDefgSdÕÖgSdR%212.16.156.10011.2.3.1.21X>(C>g>(ABgSdCV03.00.109222.16.156.10011.2.3.1.22X0>(C>g>(ABgSdCV03.00.110232.16.156.10011.2.3.1.23Ý>23ABgSdCV03.00.111242.16.156.10011.2.3.1.24/m&âãëì_réEwCqrgSdCV03.00.112252.16.156.10011.2.3.1.25FGì/HgSdCV03.00.113262.16.156.10011.2.3.1.26XÅ?ûgSdCV03.00.114272.16.156.10011.2.3.1.27?ûPØgSdCV03.00.115282.16.156.10011.2.3.1.28×Àöµ+/HgSdCV03.00.116292.16.156.10011.2.3.1.29è?jêPgSdCV03.00.201302.16.156.10011.2.3.1.300jh(gSdCV03.00.202312.16.156.10011.2.3.1.31è?ìIJ(dPØgSdCV03.00.203322.16.156.10011.2.3.1.32KéÕÖgSdCV03.00.204332.16.156.10011.2.3.1.33ÍÎIL(dMNPØgSdCV03.00.301342.16.156.10011.2.3.1.34O¹P]ÒPØgSdCV03.00.302352.16.156.10011.2.3.1.35QUP!PØgSdCV03.00.303362.16.156.10011.2.3.1.36RPØgSdCV03.00.304372.16.156.10011.2.3.1.37SPƪéPØgSdCV03.00.401382.16.156.10011.2.3.1.38SXÆI(dgSdCV03.00.402392.16.156.10011.2.3.1.39/HÎJ(dPØgSdCV03.00.403402.16.156.10011.2.3.1.40FG«T14fHⅣUßÛÜgSdCV03.00.404412.16.156.10011.2.3.1.41Ö{²VWÀ¢XÛgSdCV04.01.001422.16.156.10011.2.3.1.42VgSdCV04.01.002432.16.156.10011.2.3.1.43YJ$Jh(gSdCV04.01.003442.16.156.10011.2.3.1.44YJtPØgSdCV04.01.004452.16.156.10011.2.3.1.45YJ$JÓgSdCV04.01.005462.16.156.10011.2.3.1.46YJ$JI23PØgSdCV04.01.006472.16.156.10011.2.3.1.47Zê29/1XÛgSdCV04.01.007482.16.156.10011.2.3.1.48[&]ì/1XÛgSdCV04.01.008492.16.156.10011.2.3.1.49âãXÛgSdCV04.01.009502.16.156.10011.2.3.1.50ÔÕ^_fgSdCV04.01.010512.16.156.10011.2.3.1.51ÔÕ^_öÜgSdCV04.01.011522.16.156.10011.2.3.1.52ÔÕ}`&ÛgSdCV04.01.012532.16.156.10011.2.3.1.53a0ü;Û·ÕÉabgSdCV04.01.013542.16.156.10011.2.3.1.54a0J2Õ¸ÃbÕÉabgSdCV04.01.01423 犠犛/犜482—2016V犈.2(¦)µ%OIDefgSdÕÖgSdR%552.16.156.10011.2.3.1.55G*õö2§gSdCV04.10.001562.16.156.10011.2.3.1.56ic}qgSdCV04.10.002572.16.156.10011.2.3.1.57Ö{õö,-gSdCV04.10.003582.16.156.10011.2.3.1.58deõö2§gSdCV04.10.004592.16.156.10011.2.3.1.59fgÛÜgSdCV04.10.005602.16.156.10011.2.3.1.60hiõö2§gSdCV04.10.006612.16.156.10011.2.3.1.61j%gSdCV04.10.007622.16.156.10011.2.3.1.62ÔÕkµgSdCV04.10.008632.16.156.10011.2.3.1.63lm¹pgSdCV04.10.009642.16.156.10011.2.3.1.64n¼PØgSdCV04.10.010652.16.156.10011.2.3.1.65op2õö2§gSdCV04.10.011662.16.156.10011.2.3.1.66VWõö2§gSdCV04.10.012672.16.156.10011.2.3.1.67qºjFõö2§gSdCV04.10.013682.16.156.10011.2.3.1.68»rûgõö2§gSdCV04.10.014692.16.156.10011.2.3.1.69(s3t3gSdCV04.10.015702.16.156.10011.2.3.1.70YJ¹pgSdCV04.10.016712.16.156.10011.2.3.1.71[&]ìXÛ$ú¹pgSdCV04.10.017722.16.156.10011.2.3.1.72!ubgSdCV04.10.018732.16.156.10011.2.3.1.73vtõö2§gSdCV04.10.019742.16.156.10011.2.3.1.74ÔÕ>?$taÃgSCV04.10.020752.16.156.10011.2.3.1.75ÁZwxìXÛgSdCV04.10.021762.16.156.10011.2.3.1.76ÁZwxì>gSdCV04.10.022772.16.156.10011.2.3.1.77¿<]/1yÊfz8®ABgSdCV04.30.001782.16.156.10011.2.3.1.780(WêF{õö|+RSdCV04.30.002WS364.8—2011792.16.156.10011.2.3.1.79X|}q>pRSGHAWS364.8—2011802.16.156.10011.2.3.1.80X|}q,·RSGHA812.16.156.10011.2.3.1.81HBV¿~~aa&"gSdCV04.50.001822.16.156.10011.2.3.1.82HBVD(O!gSdCV04.50.002832.16.156.10011.2.3.1.83HBV¿~!gSdCV04.50.003842.16.156.10011.2.3.1.84é-õ&"gSdCV04.50.004852.16.156.10011.2.3.1.85ABO¿!gSdCV04.50.005862.16.156.10011.2.3.1.86¿,-gSdCV04.50.006872.16.156.10011.2.3.1.87¿¹pgSdCV04.50.00724 犠犛/犜482—2016V犈.2(¦)µ%OIDefgSdÕÖgSdR%882.16.156.10011.2.3.1.88ËJÔëìö"gSdCV04.50.008892.16.156.10011.2.3.1.89ËJÔëìö,ægSdCV04.50.009902.16.156.10011.2.3.1.90Og~BgSdCV04.50.010912.16.156.10011.2.3.1.91~F{2§gSdCV04.50.011922.16.156.10011.2.3.1.9256F{,ægSdCV04.50.012932.16.156.10011.2.3.1.93éʱ²2§gSdCV04.50.013942.16.156.10011.2.3.1.94õ2§gSdCV04.50.014952.16.156.10011.2.3.1.95¼Ê²B&õ2§gSdCV04.50.015962.16.156.10011.2.3.1.96¿<]ì]õö,ægSdCV04.50.016972.16.156.10011.2.3.1.97¿<]ìõ,ægSdCV04.50.017982.16.156.10011.2.3.1.98¿<]ì>õ,ægSdCV04.50.018992.16.156.10011.2.3.1.99Ogõö2§gSdCV04.50.0191002.16.156.10011.2.3.1.100l1ëìÛ·gSdCV05.01.0011012.16.156.10011.2.3.1.101F{Û·gSdCV05.01.0021022.16.156.10011.2.3.1.102V¼$ú(gSdCV05.01.0031032.16.156.10011.2.3.1.103YJ&fgSdCV05.01.0041042.16.156.10011.2.3.1.104x>fOPgSdCV05.01.0051052.16.156.10011.2.3.1.105SXÖàáà(OPgSdCV05.01.0061062.16.156.10011.2.3.1.106,pgSdCV05.01.0071072.16.156.10011.2.3.1.107NgSdCV05.01.0081082.16.156.10011.2.3.1.108XIâ$XgSdCV05.01.0091092.16.156.10011.2.3.1.109wYöÜgSdCV05.01.0101102.16.156.10011.2.3.1.110Y]ÛÜgSdCV05.01.0111112.16.156.10011.2.3.1.111ËJÔlmABgSdCV05.01.0121122.16.156.10011.2.3.1.112ËJÔâ$XgSdCV05.01.0131132.16.156.10011.2.3.1.113lJ89F{k7gSdCV05.01.0141142.16.156.10011.2.3.1.114lJ89ñFIMPØgSdCV05.01.0151152.16.156.10011.2.3.1.115lJ89PØgSdCV05.01.0161162.16.156.10011.2.3.1.116cßìÕÖgSdCV05.01.0171172.16.156.10011.2.3.1.11729ì]âXgSdCV05.01.0181182.16.156.10011.2.3.1.118%29¹pgSdCV05.01.0191192.16.156.10011.2.3.1.119F{29ìP!gSdCV05.01.0201202.16.156.10011.2.3.1.12029F{2§gSdCV05.01.0211212.16.156.10011.2.3.1.121¿<]ì]âXgSdCV05.01.02225 犠犛/犜482—2016V犈.2(¦)µ%OIDefgSdÕÖgSdR%1222.16.156.10011.2.3.1.122¿<]ìUß,-gSdCV05.01.0231232.16.156.10011.2.3.1.123¿<]ìF{Û·gSdCV05.01.0241242.16.156.10011.2.3.1.124Æ¿<]ììrP!gSdCV05.01.0251252.16.156.10011.2.3.1.125gñòOÆgSdCV05.01.0261262.16.156.10011.2.3.1.126gF{k7gSdCV05.01.0271272.16.156.10011.2.3.1.127ì&yP!gSdCV05.01.0281282.16.156.10011.2.3.1.128[&HBVUßñòF{OPgSdCV05.01.0291292.16.156.10011.2.3.1.129[&!yCñòO¦gSdCV05.01.0301302.16.156.10011.2.3.1.130yOPgSdCV05.01.0311312.16.156.10011.2.3.1.131¯Þ/©Àö½ñòF{gSdCV05.01.0321322.16.156.10011.2.3.1.132Wê&ëìCOBgSdCV05.01.0331332.16.156.10011.2.3.1.133Wê&ëìCOÆgSdCV05.01.0341342.16.156.10011.2.3.1.134Kéxh(P!gSdCV05.01.0351352.16.156.10011.2.3.1.135m&âãëìÕÖgSdCV05.01.0361362.16.156.10011.2.3.1.136àáÊF{k7PØgSdCV05.01.0371372.16.156.10011.2.3.1.137ÊTgSdCV05.01.0381382.16.156.10011.2.3.1.1385±»ÔÕà(OPgSdCV05.01.0391392.16.156.10011.2.3.1.139ëöÜgSdCV05.10.0011402.16.156.10011.2.3.1.140y¸Û·gSdCV05.10.0021412.16.156.10011.2.3.1.141m&âãëì/1Ew©ÃöÜOPgSdCV05.10.0031422.16.156.10011.2.3.1.1423ÃbaBO¦gSdCV05.10.0041432.16.156.10011.2.3.1.143Ù!~õö2§gSdCV05.10.0051442.16.156.10011.2.3.1.144ÔÕJ$taÃ2§gSdCV05.10.0061452.16.156.10011.2.3.1.145ÔÕ>h(PØgSdCV05.10.0071462.16.156.10011.2.3.1.146¿<]ì/13ÃbO¦gSdCV05.10.0081472.16.156.10011.2.3.1.147è?ü;õö2gSdCV05.10.0091482.16.156.10011.2.3.1.148ìöE°gSdCV05.10.0101492.16.156.10011.2.3.1.149YJE°gSdCV05.10.0111502.16.156.10011.2.3.1.150ݧaÃ2§gSdCV05.10.0121512.16.156.10011.2.3.1.151m&âãëì/1ILu&O¦gSdCV05.10.0131522.16.156.10011.2.3.1.152yìL©C¿~~½¡gSdCV05.10.0141532.16.156.10011.2.3.1.1535±»ÔÕ-L©e-;h(gSdCV05.10.0151542.16.156.10011.2.3.1.154qrSXÖàáC<(dgSdCV05.10.0161552.16.156.10011.2.3.1.155Zê>T&Â0ìr(ü;*)ÁZì(gSdCV05.10.01726 犠犛/犜482—2016V犈.2(¦)µ%OIDefgSdÕÖgSdR%1562.16.156.10011.2.3.1.156Zê>T&Â0ìr(ü;*)MN"lMh(gSdCV05.10.0181572.16.156.10011.2.3.1.157xéÁ(PØgSdCV06.00.1011582.16.156.10011.2.3.1.158(é¢gSdCV06.00.1021592.16.156.10011.2.3.1.159Å£,ægSdCV06.00.1031602.16.156.10011.2.3.1.160c0KtêWkIÆgSdCV06.00.1041612.16.156.10011.2.3.1.161d»¤¥¤¥IÆgSdCV06.00.1051622.16.156.10011.2.3.1.162¦·2§ø+,-gSdCV06.00.1061632.16.156.10011.2.3.1.163¦·2§¹pgSdCV06.00.1071642.16.156.10011.2.3.1.164ËJÔ¨©,ægSdCV06.00.1081652.16.156.10011.2.3.1.165yª«/gSdCV06.00.1091662.16.156.10011.2.3.1.166yìL©CDEéggSdCV06.00.1101672.16.156.10011.2.3.1.167yìL©7Òh(gSdCV06.00.1111682.16.156.10011.2.3.1.168yL©,ægSdCV06.00.1121692.16.156.10011.2.3.1.169¨¬HBVég,PgSdCV06.00.2161932.16.156.10011.2.3.1.193ÔÕü;j±PØgSdCV06.00.2171942.16.156.10011.2.3.1.194IL(d´A³gSdCV06.00.2181952.16.156.10011.2.3.1.195SXÖü;j±PØgSdCV06.00.2191962.16.156.10011.2.3.1.196ºF¾(OPgSdCV07.10.0011972.16.156.10011.2.3.1.197©¾(ÔTPØgSdCV07.10.0031982.16.156.10011.2.3.1.198©¾(2U,-gSdCV07.10.0041992.16.156.10011.2.3.1.199IJ#n«3&fgSdCV08.10.0012002.16.156.10011.2.3.1.200IJ#n«3µ¶¦ØgSdCV08.10.0022012.16.156.10011.2.3.1.201#n«3{)gSdCV08.10.0032022.16.156.10011.2.3.1.202<¿àëìCÊF{«3¦ØgSdCV08.10.0042032.16.156.10011.2.3.1.203gF©«3gSdCV08.10.0052042.16.156.10011.2.3.1.204¿<]ìF{(L©)«3¦ØgSdCV08.10.0062052.16.156.10011.2.3.1.205IJ#n«3vRAPØgSdCV08.30.0012062.16.156.10011.2.3.1.206IJ#n«3è^PØgSdCV08.30.0022072.16.156.10011.2.3.1.207#nvh?#$gSdCV08.30.0032082.16.156.10011.2.3.1.208ôXvPØgSdCV08.30.0042092.16.156.10011.2.3.1.209í?|+è@PØgSdCV08.30.0052102.16.156.10011.2.3.1.210ª«ÕÖgSdCV08.50.0012112.16.156.10011.2.3.1.211ég!gSdCV08.50.0022122.16.156.10011.2.3.1.212éʱ²éggSdCV08.50.0032132.16.156.10011.2.3.1.213c0KtêPgSdCV08.50.1012142.16.156.10011.2.3.1.214«*^6gSdCV08.50.1022152.16.156.10011.2.3.1.215IJ#n_`PØgSdCV09.00.1012162.16.156.10011.2.3.1.216"&fgSdCV09.00.1022172.16.156.10011.2.3.1.217è?ì]"89gSdCV09.00.1032182.16.156.10011.2.3.1.218?(ûPØgSdCV09.00.1042192.16.156.10011.2.3.1.219ûTûP!gSdCV09.00.1052202.16.156.10011.2.3.1.220Aû^ÀgSdCV09.00.1062212.16.156.10011.2.3.1.221J2?(ûi,-gSdCV09.00.1072222.16.156.10011.2.3.1.222õ²jagSdCV09.00.1082232.16.156.10011.2.3.1.223è?&ü;#9>õPØgSdCV09.00.10928 犠犛/犜482—2016V犈.2(¦)µ%OIDefgSdÕÖgSdR%2242.16.156.10011.2.3.1.224è?IJ|+ª@?@#$gSdCV09.00.1102252.16.156.10011.2.3.1.225Tf:¦gSdCV09.00.1112262.16.156.10011.2.3.1.226Wê&pd-ê|ÁkCPgSdCV09.00.1122272.16.156.10011.2.3.1.227IJ#n®O¦·¸:¦aBöÜgSdCV09.00.2012282.16.156.10011.2.3.1.228IJ#nõöQµ¶{Âö{<*ÔTgSdCV09.00.2022292.16.156.10011.2.3.1.229IJ#nõöQµ¶{Âí?PØgSdCV09.00.2032302.16.156.10011.2.3.1.230IJµ¶{Â2§²µ¶´ÒgSdCV09.00.2042312.16.156.10011.2.3.1.231ÓM<ÃæÊgSdCV09.00.2052322.16.156.10011.2.3.1.232J2?(ûÃæÊgSdCV09.00.2062332.16.156.10011.2.3.1.233è?IJÃæÊgSdCV09.00.2072342.16.156.10011.2.3.1.234WêIJÃæÊgSdCV09.00.2082352.16.156.10011.2.3.1.235Ä0óô]ÒPØgSdCV09.00.2092362.16.156.10011.2.3.1.236~ÄIJÃæÊgSdCV09.00.2102372.16.156.10011.2.3.1.237©IJÃæÊgSdCV09.00.2112382.16.156.10011.2.3.1.238cßìÞLÃæÊgSdCV09.00.2122392.16.156.10011.2.3.1.239¨¿IJÃæÊgSdCV09.00.2132402.16.156.10011.2.3.1.240µ¶n³öÜgSdCV09.00.2142412.16.156.10011.2.3.1.241µ¶`ÅöÜgSdCV09.00.2152422.16.156.10011.2.3.1.242µ¶{OPØgSdCV09.00.2162432.16.156.10011.2.3.1.243IJ#nîPØgSdCV09.00.2172442.16.156.10011.2.3.1.244$ÁPØgSdCV09.00.2182452.16.156.10011.2.3.1.245õö2§*GÖ-gSdCV09.00.3012462.16.156.10011.2.3.1.2462õQïlgSdCV09.00.4012472.16.156.10011.2.3.1.247TXQ6ÆgSdCV09.00.4022482.16.156.10011.2.3.1.248©ûLPØgSdCV02.01.2042492.16.156.10011.2.3.1.249ÓÇPØgSdCV02.01.2052502.16.156.10011.2.3.1.250Rh(D)¿!gSdCV04.50.0202512.16.156.10011.2.3.1.251¦¿(gSdCV04.50.0212522.16.156.10011.2.3.1.252¦¿½P!gSdCV05.01.0402532.16.156.10011.2.3.1.253õìögSdCV05.10.0192542.16.156.10011.2.3.1.254ËJÔÂ0öÜgSdCV05.10.0202552.16.156.10011.2.3.1.255qÅ£mÈw(ASA)O¦ahgSdCV05.10.0212562.16.156.10011.2.3.1.256ø+:PØgSdCV05.10.0222572.16.156.10011.2.3.1.257ø+:]:¦gSdCV05.10.02329 犠犛/犜482—2016V犈.2(¦)µ%OIDefgSdÕÖgSdR%2582.16.156.10011.2.3.1.258ø+¦ØgSdCV05.10.0242592.16.156.10011.2.3.1.2599¸:¦gSdCV06.00.2202602.16.156.10011.2.3.1.2609¸P!gSdCV06.00.2212612.16.156.10011.2.3.1.261ÉÊPgSdCV06.00.2222622.16.156.10011.2.3.1.262ø+>pgSdCV06.00.2232632.16.156.10011.2.3.1.263?>j±gSdCV06.00.2242642.16.156.10011.2.3.1.264L©PØgSdCV06.00.2252652.16.156.10011.2.3.1.265Ê,-gSdCV06.00.2262662.16.156.10011.2.3.1.266ùú¹pgSdCV06.00.2272672.16.156.10011.2.3.1.267égÁ(ApgSdCV06.00.2282682.16.156.10011.2.3.1.268"P!gSdCV06.00.2292692.16.156.10011.2.3.1.269©Ë¾,-gSdCV07.10.0052702.16.156.10011.2.3.1.270õ¢gSdCV09.00.4032712.16.156.10011.2.3.1.271/1P!gSdCV09.00.404犈.3-¼õCV¦CIJKLefgSOIDOcdE.3。V犈.3°±²犆犞`a%&"(W犗犐犇§Vµ%OIDefgSdÕÖGH12.16.156.10011.2.3.2.1ÌfOPÔB2§gSd122.16.156.10011.2.3.2.12ªék¬&gSd132.16.156.10011.2.3.2.13ü;j±gSd142.16.156.10011.2.3.2.14ËJÔÒbööÜgSd152.16.156.10011.2.3.2.15ËJÔÒbö2§gSd162.16.156.10011.2.3.2.16Õ,-PØgSd30 犠犛/犜482—2016V犈.3(¦)µ%OIDefgSdÕÖGH172.16.156.10011.2.3.2.17rßëìPØgSd182.16.156.10011.2.3.2.18Ö¿~~±²2§gSd192.16.156.10011.2.3.2.19HIV>õ2§gSd202.16.156.10011.2.3.2.20M"PØgSd212.16.156.10011.2.3.2.21cßì$ìPØgSd222.16.156.10011.2.3.2.22cßìPØgSd232.16.156.10011.2.3.2.230jP!gSd242.16.156.10011.2.3.2.24×ÆØgSd252.16.156.10011.2.3.2.25}ØO¦gSd262.16.156.10011.2.3.2.26y¸Ù¦aÃ2§gSd272.16.156.10011.2.3.2.27ݧڵ+aÃ2§gSd282.16.156.10011.2.3.2.28ù¿»½gSd292.16.156.10011.2.3.2.29ìöÜgSd352.16.156.10011.2.3.2.35Ew©ÃöÜaÃgSd362.16.156.10011.2.3.2.36löÜgSd372.16.156.10011.2.3.2.37m&âãëì/1ݧaÃ2§gSd382.16.156.10011.2.3.2.38õö/õ²2§gSd392.16.156.10011.2.3.2.39ÜFaagSd402.16.156.10011.2.3.2.40{,PØgSd412.16.156.10011.2.3.2.41Å£xÉabgSd422.16.156.10011.2.3.2.42¦¿abgSd432.16.156.10011.2.3.2.43¦¿&fgSd442.16.156.10011.2.3.2.440SÖ-gSd452.16.156.10011.2.3.2.45iöÜgSd462.16.156.10011.2.3.2.46$i,-gSd472.16.156.10011.2.3.2.47õö,-gSd482.16.156.10011.2.3.2.48ApgaraOMÉIMgSd492.16.156.10011.2.3.2.49O.2:gSd502.16.156.10011.2.3.2.50°·9¸gSd31 犠犛/犜482—2016V犈.3(¦)µ%OIDefgSdÕÖGH512.16.156.10011.2.3.2.51y¸9¸gSd522.16.156.10011.2.3.2.52ݤ9¸gSd532.16.156.10011.2.3.2.53$tABgSd542.16.156.10011.2.3.2.54ÞÛ·gSd552.16.156.10011.2.3.2.55Õ¸ÃbgSd562.16.156.10011.2.3.2.56E{:HP!gSd572.16.156.10011.2.3.2.57ÊÒñòߢaagSd582.16.156.10011.2.3.2.58PØgSd592.16.156.10011.2.3.2.59Å£]âXaagSd602.16.156.10011.2.3.2.60ü;ÛÜgSd612.16.156.10011.2.3.2.61h?{"gSd622.16.156.10011.2.3.2.62©IJ«3?@{)OPQgSd犈.4(YCqa¦675efgSOIDOcdE.4。V犈.44³aH`EQBW犗犐犇§µ%OIDefgSdÕÖGH12.16.156.10011.2.3.3.1ÑÒ¥q-ÓÔÕÖgSdGB/T2659—2000xzM-qল঱lµ¶Ôs22.16.156.10011.2.3.3.2GB/T2260—2007gSd32.16.156.10011.2.3.3.3ßPØgSdGB3304—199142.16.156.10011.2.3.3.4J¸&ØgSdGB/T2261.1—200352.16.156.10011.2.3.3.5ÙÚÛÜgSdGB/T2261.2—200362.16.156.10011.2.3.3.6~çgSdGB/T4658—200672.16.156.10011.2.3.3.7è?PØgSdGB/T6565—201582.16.156.10011.2.3.3.8ré´XgSdGB/T4761—200892.16.156.10011.2.3.3.9è?&Wê&ëìÕÖgSdGB/T18201—2000102.16.156.10011.2.3.3.10í?|+è@gSdGB/T8561—2001112.16.156.10011.2.3.3.11q÷ëìOPgSdICD10q÷ëìOP9Èø122.16.156.10011.2.3.3.12ø+(ùú)gSd+Qùú(ICD9CM)132.16.156.10011.2.3.3.13¬?ÛÜ(×ÝÞ)gSdGB/T2261.4—2003142.16.156.10011.2.3.3.14xìîOPQgSdGB/T15657—1995犈.5(YC³´ICDgSOIDOcdE.5。32 犠犛/犜482—2016V犈.54³a´l犐犆犇W犗犐犇§Vµ%OIDefgSdÕÖGH12.16.156.10011.2.3.3.11.1XÛgSd(ICD10)ICD1022.16.156.10011.2.3.3.11.2à(gSd(ICD10)ICD1032.16.156.10011.2.3.3.11.3F{gSd(ICD10)ICD1042.16.156.10011.2.3.3.11.4è?ìÕÖgSd(ICD10)ICD1052.16.156.10011.2.3.3.11.5ëìgSd(ICD10)ICD10犈.6IJKLah%CIJµ?efgSOIDOcdE.6。V犈.6%&"(Hµ¶a%&·W犗犐犇§µ%OIDefgSdÕÖGH12.16.156.10011.2.3.4.1IJ«3OPgSdWS218—2002Iæ#$[2002]108%《è22.16.156.10011.2.3.4.2è?ìPgSd?ì"H》Iæ#$[2002]108%《è32.16.156.10011.2.3.4.3×PØgSd?ì"H》33'