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 | Â |
OUTPADM.CLINIC_MASTER | VISIT_IN_HOSPITAL | ADT information (175 items) |
INPADM.PATS_IN_HOSPITAL | VISIT_OUT_PATIENT | Â |
ORDADM.ORDERS | ORDERS | Order information (92 items) |
OUTPDOCT.OUTP_ORDERS | ORDERS_PERFORM | Â |
ORDAMD.VITAL_SIGNS_REC | VITAL_SIGNS_RECORD | Vital signs (17 items) |
EXAM.EXAM_MASTER | EXAM_REQUEST | Â |
EXAM.EXAM_ITEMS | EXAM_ITEM | Imaging examination (182 items) |
EXAM.EXAM_DATA | EXAM_DATA | Â |
EXAM.EXAM_REPORT | EXAM_REPORT | Â |
LAB.LAB_TEST_MASTER | LAB_TEST_REQUEST | Â |
LAB.LAB_TEST_ITEMS | LAB_TEST_DATA | Lab test (112 items) |
LAB.LAB_RESULT | LAB_TEST_MASTER | Â |
OPERATION_SCHEDULE | OPERATION_REQUEST | Operation information (200 items) |
OPERATION_MASTER | OPERATION_REPORT | Â |
BLDBANK.BLOOD_APPLY | None | Transfusion (36 items) |
BLDBANK.BLOOD_CAPACITY | Â | Â |
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) |
| Â | EMR_DOCUMENT_DETAIL | Â |
Total | 1226 items | |