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首页浙江省医院信息共享字典规范(试行)-V2.0
浙江省医院信息共享字典规范(试行)-V2.0
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更新于2023-03-16
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浙江省医院信息共享字典规范(试行)-V2.0/浙江省医院信息共享字典规范(试行)-V2.0/
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浙江省医院信息共享字典规范
(试行)
(V2.0)

目录
(试行)..........................................................................................1
(V2.0).........................................................................................1
1 前言.............................................................................................6
1.1 编写目的...................................................................................................6
1.2 术语和定义................................................................................................6
1.3 参考标准...................................................................................................6
2 数据集涉及字典...............................................................................7
2.1 GB_T15657_1995:中医病证分类代码........................................................7
2.2 GB_T16751_3_1997:治法代码.............................................................102
2.3 GB_T16835_1997:高等学校本科、专科专业名称代码..............................142
2.4 CVX_XYSQHDM:行政区划代码.............................................................143
2.5 GB_T2261_1_2003:性别代码...............................................................147
2.6 GB_T2261_4_2003:职业类别代码........................................................148
2.7 GB_T2659_2000:国籍........................................................................148
2.8 GB_T3304_1991:民族........................................................................157
2.1 GB_T4658_2006:学历代码..................................................................160
2.2 GB_T4761_2008:家庭关系代码............................................................161
2.3 GB_T2261_2_2003:婚姻状况代码字典..................................................162
2.4 CV02_01_101:身份证件类别代码..........................................................162
2.5 CV0209_01:医疗支付方式代码字典.......................................................163
2.6 CV03_00_104:饮酒频率代码表.............................................................163
2.7 CV04_50_005ABO:血型代码表............................................................164
2.16 CV04_50_020RH:血型代码.................................................................164
2.8 CV04_50_021:输血品种代码................................................................165
2.9 CV05_01_040:输血反应类型代码..........................................................166
2.10 CV05_10_010:病情转归代码表...........................................................166
2.11 CV05_10_019:入院病情....................................................................167
2.12 CV05_10_021:美国麻醉医师学会(ASA)分级标准代码表.....................167
2.13 CV05_10_022:手术切口类别字典........................................................168
2.14 CV05_10_023:手术切口愈合等级代码.................................................168
2.15 CV05_10_024:手术级别代码..............................................................169
2.16 CV06_00_101:中药使用类别代码表.....................................................169
2.17 CV06_00_102:用药途径代码表...........................................................169
2.18 CV06_00_103:麻醉方法代码表...........................................................170
2.19 CVX_ANESTHESIAMODE:麻醉方式代码....................................................172
2.20 CV06_00_207:随访方式代码表...........................................................172
2.21 CV06_00_208:随访周期建议代码表.....................................................173

2.22 CV06_00_220:护理等级代码..............................................................173
2.23 CV06_00_221:护理类型代码..............................................................173
2.24 CV06_00_222:隔离种类代码..............................................................174
2.25 CV06_00_224:饮食指导代码..............................................................174
2.26 CV06_00_226:离院方式代码..............................................................175
2.27 CV06_00_227:操作部位代码..............................................................176
2.28 CV08_30_005:专业技术职务类别代码表..............................................178
2.29 CV08_50_002:药物剂型代码字典........................................................178
2.30 CV09_00_403:入院途径代码..............................................................181
2.31 CV5502_20:疾病诊断类别代码...........................................................182
2.32 CV02_01_205:地址类别代码表...........................................................183
2.33 *CVX_CONTACTCATEGORY:联系方式类别................................................183
2.34 CVX_MZZYBZ:门诊/住院标志.............................................................184
2.35 CVX_DEACTIVATEUSESIGN:停用/使用标志..............................................184
2.36 CVX_CZBZDM:初诊标志代码..............................................................185
2.37 CVX_JZGCHZQXDM:患者去向代码.....................................................185
2.38 CVX_SSHHZQXDM:手术后患者去向代码.............................................185
2.39 CVX_HXLXDM:呼吸类型代码..............................................................186
2.40 CVX_SXXZDM:输血性质代码..............................................................186
2.41 CVX_SYXSDM:受孕形式代码..............................................................186
2.42 CVX_TMQKDM:胎膜情况代码.............................................................186
2.43 CVX_YSQKDM:饮食情况代码..............................................................187
2.44 CVX_QKHLDM:气管护理代码..............................................................187
2.45 CVX_XLHLDM:心理护理代码..............................................................187
2.46 CVX_AQHLDM:安全护理代码..............................................................187
2.47 CVX_FYCDDM:发育程度代码..............................................................188
2.48 CVX_YYZTDM:营养状态代码..............................................................188
2.49 CVX_ZLNLDM:自理能力代码..............................................................188
2.50 CVX_XYQKDM:吸烟状况代码..............................................................189
2.51 CVX_SXSBSDM:输血史标识代码.........................................................189
2.52 CVX_ZKJLLX:转科记录类型.................................................................189
2.53 CVX_ORDERSIDENTIFICATION:医嘱标识字典.............................................190
2.54 CVX_ZDLX:诊断类型.........................................................................190
2.55 CVX_ZYZDBZ:主要诊断标志..............................................................190
2.56 CVX_ZDLB:诊断类别.........................................................................190
2.57 CVX_JDZD:阶段诊断..........................................................................191
2.58 CVX_MXFYLB_MZ:明细费用类别_门诊.................................................191
2.59 CVX_MXFYLB_ZY:明细费用类别_住院.................................................192
2.60 CVX_ZCDJ:职称等级..........................................................................192
2.61 CVX_RYLB:人员类别..........................................................................193
2.62 CVX_ZGFLBZ:职工分类标志...............................................................193
2.63 CVX_BASIC_DRUG:基药标识.................................................................194
2.64 CVX_ANTIBACTERIAL:抗菌药物标识.........................................................194
2.65 CVX_SPIRIT_DRUG:精神药物标志...........................................................194

2.66 CVX_DRUGUNIT:药物剂量单位..............................................................195
2.67 CVX_DRUGNUMUNIT:药物数量单位........................................................196
2.68 CVX_ZZZRBZ:转诊转入标志..............................................................196
2.69 CVX_PURCHASEMETHOD:采购方式代码...................................................197
2.70 CVX_CFBS:处方辨识..........................................................................197
2.71 CVX_TFBZ:退费标志..........................................................................197
2.72 CVX_DXSBLX:大型设备类别...............................................................198
2.73 CVX_FYJSFS:费用结算方式.................................................................199
2.74 CVX_CLLX:材料类型..........................................................................199
2.75 CVX_KDDJ:开单类型..........................................................................200
2.76 CVX_YBDJ:医保等级..........................................................................200
2.77 * CVX_CARDTYPE:卡类型字典...............................................................200
2.78 *CVX_WITHDRAWALMARK:作废标志字典.................................................201
2.79 *CVX_RIGHT:是否_不确定标志...............................................................202
2.80 *CVX_YLJGDJH_22:医疗机构登记号.......................................................202
2.81 *CVX_CARDISSUER:发卡机构..................................................................203
2.82 CVX_PATIENTIDCATEGORY:病人标识类别字典............................................204
2.83 CVX_DAY31INPATIENTMK:出院 31 天内再住院标志....................................205
2.84 CVX_FREQUENCY:频次字典.....................................................................205
2.85 CV5103_09:住院患者血清学检查结果代码字典.......................................207
2.86 CVX_INSPECTIONRESULTCODE:检查_检验结果代码.....................................207
2.87 CC09_00_103_00:病案质量字典..........................................................207
2.88 CV5197_01:检验标本类别字典.............................................................208
2.89 CVX_OPTTYPE:住院类别........................................................................213
2.90 CVX_RECIPETYPE:处方类型代码...............................................................213
2.91 CC60_01_001_06:诊断符合情况_门诊和出院字典...................................213
2.92 CVX_TYPEOFEXAM:检查类型字典............................................................214
2.93 CVX_CONTACTERRELATIONSHIP:联系人与患者关系字典...............................214
2.103 CVX_REGISTEREDCATEGORY:挂号类别字典..............................................218
2.104 CVX_AUTOPSYMARK:死亡患者尸检标志字典............................................218
2.105 CV06_00_223:手术操作体表部位字典..................................................218
2.106 CVX_DEPARTMENTCODE:科室编码字典...................................................219
2.107 CVX_DIANGNOSISBASIS:诊断依据字典....................................................226
2.108 CVX_REGISTEREDWAY:挂号方式字典......................................................226
2.109 CV06_00_229:医嘱项目类型代码........................................................226
2.110 CVX_AGEUNIT:年龄单位....................................................................227
2.111 CVX_CURE:治疗类别.........................................................................227
2.112 CVX_CLINICALPATH:实施临床路径..........................................................228
2.113 WS_TXXCSBZ:卫生信息交换类型........................................................228
2.114 CVX_SECRETHIERARCHY:密级................................................................228
2.115 CVX_STORAGETYPECODE:入库类型代码..................................................229
2.116 CVX_WAREHOUSEDEPARTMENT:入库科室类型..........................................229
2.117 CVX_DRUGCLASSIFICATION:药品分类......................................................229
2.118 CC10_01_01:对账数据集代码.............................................................232

2.119 CVX_YPLY:药品来源代码..................................................................235
2.120 CVX_SSLX:手术类型代码..................................................................235
2.121 ICD10:疾病分类与代码国家标准........................................................235
2.122 ICD9_CM3:手术操作分类与代码........................................................235
2.123 CVX_DRUGBASICDATABASE:国家药品基本数据库....................................235
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