临床护理分类系统在电子病历中的研究及应用进展

doi:10.3969/j.issn.1672-1756.2019.05.019

Abstract

Abstract: Clinical medical institutions are increasingly aware that standardized language is essential for the implementation of electronic medical record. The electronic nursing information system urgently needs to use a standardized language, and the Clinical Care Classification System provides a new method for recording patient care in electronic health record System. This paper reviewed the establishment process, the framework and coding structure and the research and application progress of Clinical Care Classification System. It is expected to provide reference for further study and practice.

Key words: Clinical Care Classification System; standardized nursing terminologies; nursing electronic record system

CLC Number:

LIN Min, CHEN Jingli, KANG Xiaofeng, GONG Chen. Establishment and appllication of Clinical Care Classification System in electronic medical record[J].Chinese Nursing Management, 2019, 19(5): 735-739.

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Establishment and appllication of Clinical Care Classification System in electronic medical record

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