基层医学论坛
基層醫學論罈
기층의학론단
PUBLIC MEDICAL FORUM MAGAZINE
2013年
28期
3694-3695
,共2页
门诊日志%基层医疗卫生机构%居民健康档案%项目设计
門診日誌%基層醫療衛生機構%居民健康檔案%項目設計
문진일지%기층의료위생궤구%거민건강당안%항목설계
Primary medical and health institutions%Outpatient log%Residents' health records%Project design
《国家基本公共卫生服务规范(2011年版)》实施以来,基层医疗卫生机构原有门诊日志的项目设计已不能满足全科医学工作的需要。基层医疗卫生机构传染病疫情发现和报告的原始记录存在于门诊日志和居民健康档案中,其门诊日志项目应为:服务日期、姓名、性别、年龄、职业、工作单位(学生填写学校)、联系电话、现住址(健康档案号)、病名(健康问题)、发病日期、初诊或复诊、血压(左右上臂)或血糖、处理13项内容。
《國傢基本公共衛生服務規範(2011年版)》實施以來,基層醫療衛生機構原有門診日誌的項目設計已不能滿足全科醫學工作的需要。基層醫療衛生機構傳染病疫情髮現和報告的原始記錄存在于門診日誌和居民健康檔案中,其門診日誌項目應為:服務日期、姓名、性彆、年齡、職業、工作單位(學生填寫學校)、聯繫電話、現住阯(健康檔案號)、病名(健康問題)、髮病日期、初診或複診、血壓(左右上臂)或血糖、處理13項內容。
《국가기본공공위생복무규범(2011년판)》실시이래,기층의료위생궤구원유문진일지적항목설계이불능만족전과의학공작적수요。기층의료위생궤구전염병역정발현화보고적원시기록존재우문진일지화거민건강당안중,기문진일지항목응위:복무일기、성명、성별、년령、직업、공작단위(학생전사학교)、련계전화、현주지(건강당안호)、병명(건강문제)、발병일기、초진혹복진、혈압(좌우상비)혹혈당、처리13항내용。
Since the implementation of <National basic public health services specification (2011 edition),the project design of the original outpatient log could not meet the needs of the general medical work. Basic medical and health institutions of infectious disease found the original records and reports in the archives of health outpatient service logs and the residents, the outpatient service logs should be:service date, name, sex, age, occupation, work unit (the students fill in the school), contact telephone number, address (health file No., name of disease (Health) problems), date of onset, type or referral, blood pressure (left and right upper arm) or blood sugar, processing, the log included 13 parts. [keyword] outpatient log basic medical and health institutions resident health archives project design.