Skip to main content

Table 2 Details of EHR data requirement collection

From: Modeling EHR with the openEHR approach: an exploratory study in China

Database scheme-1 Database scheme-2 EHR requirements
PAT_MASTER_INDEX MASTER_PATIENT_INDEX Patient demographics (69 items)
MEDREC.DIAGNOSIS DIAGNOSIS Diagnosis information (25 items)
MEDREC.PAT_VISIT PATIENT_VISIT  
OUTPADM.CLINIC_MASTER VISIT_IN_HOSPITAL ADT information (175 items)
INPADM.PATS_IN_HOSPITAL VISIT_OUT_PATIENT  
ORDADM.ORDERS ORDERS Order information (92 items)
OUTPDOCT.OUTP_ORDERS ORDERS_PERFORM  
ORDAMD.VITAL_SIGNS_REC VITAL_SIGNS_RECORD Vital signs (17 items)
EXAM.EXAM_MASTER EXAM_REQUEST  
EXAM.EXAM_ITEMS EXAM_ITEM Imaging examination (182 items)
EXAM.EXAM_DATA EXAM_DATA  
EXAM.EXAM_REPORT EXAM_REPORT  
LAB.LAB_TEST_MASTER LAB_TEST_REQUEST  
LAB.LAB_TEST_ITEMS LAB_TEST_DATA Lab test (112 items)
LAB.LAB_RESULT LAB_TEST_MASTER  
OPERATION_SCHEDULE OPERATION_REQUEST Operation information (200 items)
OPERATION_MASTER OPERATION_REPORT  
BLDBANK.BLOOD_APPLY None Transfusion (36 items)
BLDBANK.BLOOD_CAPACITY   
NURSERCORD_SUMMARY None Nursing information (62 items)
None CONSULT_MASTER Consult information (19 items)
None NEWBORN_REPORT Newborn information (129 items)
EMR.EMR_DOCUMENT EMR_DOCUMENT EMR document information (88 items)
  EMR_DOCUMENT_DETAIL  
Total 1226 items