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WS-T 483.19-2016 健康档案共享文档规范 第19部分:会诊记录.pdf

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1、,G34G35G3EG92GF7G32G36GCCGA0G28G37G26G4FG47G48G29G30G92G38G84,G28G37G26G4FG47G48G29G30G92G38G84,GD9GA0,GA3G65G43G44G55G56G29G30GF7GE2G3EGC7,G29G30G29G38,G39G3AG58:G41G42G4CG4DG4EG4FG29G30GFDGADG3BG3CG29G30G3DG3EGE1GE2,GD9GA0G2FG30G31:G29G30G2CG22G38G84GF7GE2,GD9GA0G2FG30G31:G29G30G3FG40GF7G32,G28G59

2、G41G42GDFG43GD8G6F。GD9G31G44GC7GA9G45G37G70G65G29G30GD8G62G32 G59G51G5AG4BG2CG2DG39G3AG3BG38G22G23G24G34GC4GD9G3AGFCG25G22G92GC5GCDG3CGC7GF9GFA。G45 G59G51G5AG4BG4CG4DG4EG44G4FG50G51G52G53G4CG54G55G56G57G58G22G23GEBGEC G61GFC G26G4FG3AG27G28GC5GCDG92GFCG25G22G29G2AG2BG29G30G47G48GC5G46G47G52G53G48G52

3、GC5G46,GD9GA0G2FG30G31,G83G3BG49G4A,GD9GA0G2FG30G31G52G53G30G54G29G2AG32,GD9GA0G2FG30G31,G34G35G3EG92GF7G32G36GCCGA0犠犛犜G45(G4B)G22G23GEBGEC G61GFC G26G4FG3AG27G28GC5GCDG92GFCG25G22G29G2AG2BG8EG8FG32G29G2A,GD9GA0G2FG30G31,G34G35G3EG92GF7G32G36GCCGA0G68G69G8EG4C,GD9GA0G2FG30G31(G29G2AG2CG4CG38GE3G92GE

4、1GE2)G2CG4CG8BG4DG32GE2G4EG8EG2CG4CG4F(G50、G51、G52G53)G2CG4CG54(G55、G50G56G57G58G3A)G2CG4CG59(G5A)G2CG4CG9D(G2CG5A)G2CG4CG30(G45G5BG5A、G5CG5DG9D)G5EG5FGF7GE2G3DGC7G60G61G83G3BG5FG60G61G62G43G44,GD9GA0G2FG30G31,G83G3BG62G63G4EG32,GD9GA0G2FG30G31,G34G35G3EG92GF7G32G36GCCGA0G83G3BG64GEBG83G3BG26GE3,G65

5、G28G25GBEG92GE1GE2,GD9GA0G83G3BG64G65GD5GD6G83G3BGE4GE5GE6GE7,G65G28G25GBEG92GE1GE2,GD9GA0GE9GEA,G65G28G25GBEG92GE1GE2,GD9GA0G66GFEG99G9AG66GFEG99G9AGEBGECG3DGC7G60G61G67G68G43G44G8EG4C犠犛犜G45(G4B)G22G23GEBGEC G61GFC G26G4FG3AG27G28GC5GCDG92GFCG25G22G29G2AG2BG2CG4CG8BG4DG32GE2G4EG8EG2CG4CG4F(G50、G51、

6、G52G53)G2CG4CG54(G55、G50G56G57G58G3A)G2CG4CG59(G5A)G2CG4CG9D(G2CG5A)G2CG4CG30(G45G5BG5A、G5CG5DG9D)G29G69G6AG6BG29G69G6AG6BGE1GE2,GD9GA0G2FG30G31,G4DGF4GE1GE2GFA()GF5GF6GE6GE7GF5GF6GE1GE2,GD9GA0G2FG30G31,GF5GF6G38GE3GE1GE2GFA()G29G30GFDGFEG3B,G2FG30G31:,G6CG7BGD5GD6G6DGBEGFDGFEG3B,G2FG30G31:GFEG3BG92

7、G6EGC6G29G2AG2B,GD9GA0,G34G35G3EG92GF7G32G36GCCGA0G6CG7BG60G64GEBG83G3BG6FG45G92G4CG70G71G33G29G2A,GD9GA0,G34G35G3EG92GF7G32G36GCCGA0犠犛犜G45(G4B)G22G23GEBGEC G61GFC G26G4FG3AG27G28GC5GCDG92GFCG25G22G29G2AG2BG6CG7BG71G33GEBGECG29G30GFFG21G71G33G43G44,GD9GA0G2FG30G31G2FG30G31:GFAG72G73G74G75G76G29G30G3

8、1G32G48GFFGB0G77G92G24G78G71G33,GD9GA0,G29G30G48GFFG92G4CG70G71G33G29G2A,GD9GA0,G34G35G3EG92GF7G32G36GCCGA0G48GFFG71G33GEBGECG48GFFG71G33G60G61G48GFFG71G33G2CG4CG68G60G68G60G3DGC7G60G61G68G60G64GEB G57G5BG49G4AG4BG2CG2DG3CG3DG36G37G38G25G23G22G23G24G34GC4GD9G3AGFCG25G22G92GC5GCDG3CGC7GF9GFA。G45 G57G

9、5BG49G4AG4BG2CG2DG4CG4DG4EG44G4FG50G51G52G53G4CG54G55G56G57G58G22G23GEBGEC G61GFC G26G4FG3AG27G28GC5GCDG92GFCG25G22G29G2AG2BG79G29G30G43G44,GFAG72G62G29G30G3AG79G29G30G3CG7AG65G92G3CGC7,G59GC4G27G28G92G79G29G30G7BG3CG43G44,G7CGCCG41G42G76G7DG7EG66G29G30G92G7FG80G29G30GC4G7BG3CG43G44G79G29G30G79G29G3

10、0G29G2AG2BG29G30G3FG81GC8G32G29G30GD8G62G32 G2BG27G5CG2CG2D G2BG27G5CG5DG5EG43G44G29G30G3EG3FG40G33G34GF9GFA。犠犛犜G45 G2BG27G5CG5DG5EG43G44G3FG40GEBGEC G61GFC GC9GCA G27G28G41G42G43G44G3FG40G27G28G41G3BG92G41G42G3BG3C、G41G42G2CG82G92G41G42G43G44G45G46G47G48G3FG40G27G28G41G3BG92G41G42G7FG83G59GC4G41G42

11、G45G46G92G43G44 G31G32G5FG60G5DG5E G31G32G5FG60G5DG5EG61G21G43G44G41G42G43G44G3FG40G84G85G33G34GF9GFA。G45 G31G32G5FG60G5DG5EG61G21G43G44G84G85GEBGEC G61GFC GC9GCA G27G28G41G42GD5GD6G84G85G47G48G41G42GD5GD6G41G42G2CG82G84G85G47G48G41G42G2CG82G41G42G4CG8FG84G85G47G48G41G42G4CG8FGEBGEC G31G32G5FG60G5DG

12、5EG61G21G4EG44G41G42G43G44G3FG40G22G23G24G34GF9GFA。G45 G31G32G5FG60G5DG5EG4CG4DG4EG44G22G23GEBGEC G86G26 G61GFC GC9GCA G26G4FG3AG27G28GC5GCDG92GFCG25G22G29G2AG2BG41G42G43G44G3FG40G87G22G23G41G42G43G44G3FG40GE1GE2,GD9GA0,G41G42G43G44G60G88G5DG57G41G42GD5GD6G84G85GD9GA0,G41G42GD5GD6G84G85GE1GE2,GD9GA0

13、,GA3G65G43G44GFCG25G22G85G48G41G42GD5GD6G31犠犛犜G45(G4B)G22G23GEBGEC G86G26 G61GFC GC9GCA G26G4FG3AG27G28GC5GCDG92GFCG25G22G29G2AG2BG41G42G2CG82G84G85GD9GA0,G41G42G2CG82GE1GE2,GD9GA0,GA3G65G43G44GFCG25G22G85G48G41G42G2CG82G31,GD9GA0G2FG30G31:,G41G42G2CG82G38GE3GE1GE2GFAG41G42G4CG8FG84G85GD9GA0,G41G42G

14、4CG8FGE1GE2,GD9GA0,GA3G65G43G44GFCG25G22G85G48G41G42G45G46,GD9GA0G2FG30G31: G62G63G64G65G5DG5E G62G63G64G65G5DG5EG61G21G43G44G45G46G47G48G3FG40G84G85G33G34GF9GFA。G45 G62G63G64G65G5DG5EG61G21G43G44G84G85GEBGEC G61GFC GC9GCA G27G28G5CG79G41G42G7FG83G27G28G41G3BG89G7AG41G42G7FG83G8AG7FG8BG41G42G3BG8CG2

15、7G28G8AG7FG8BG41G42G3BG8CGD9G8DG8AG7FG45G46G47G48GD9G8DG92G8AG7FG45G46G8EG8FGDAG80G45G46G71G33G3EGE3G27G28G9BG28G8AG7FG92GDAG90G45G46G4CG8FGDAG80G45G46G71书书书犐犆犛犆G21G22G23G24G25G26G27G28G29G2AG2BG2CG2D犠犛犜G2EG2FG30G31G25G32G33G30G34G35G36G37G38:G39G3AG3BG3CG3DG3EG3FG40G41G42G43G44犛狆犲犮犻犳犻犮犪狋犻狅狀犳狅狉狊犺犪狉犻

16、狀犵犱狅犮狌犿犲狀狋狅犳狉犲狊犻犱犲狀狋狊犺犲犪犾狋犺狉犲犮狅狉犱犘犪狉狋:犛犲狏犲狉犲狆狊狔犮犺犻犪狋狉犻犮犱犻狊犲犪狊犲犳狅犾犾狅狑狌狆狏犻狊犻狋狊犲狉狏犻犮犲G45G46G47G48G21G22G23G24G25G26G27G27G49G28G29G26G4AG4BG29G4CG4DG4EG4F G45 G46书书书G21G22G21G22 G23G24 G25G23G26G27G28G29G2A G2BG2CG2DG2EG2FG2C G29G30G31G32G33G34 G29G30G35G25G23 G29G30G36G37G38G25G23 G39G3AG3BG38G25G23 G

17、3CG3DG36G37G38G25G23 G29G30G3EG25G23 G29G30G3EG3FG40G33G34 G41G42G43G2AG3FG40 G44G45G46G47G48G49G3FG40 G4AG4BG4CG3FG40 G4DG4EG4FG50G51G3FG40 G28G52G3FG40 G46G47G53G54G3FG40 G46G47G55G56G3FG40 G57G58G59G5AG3FG40 G5BG5CG41G42G5DG5EG3FG40G5FG60(G61G62G26G5FG60)G63G26G64G65G66G67G68G3BG41G42G69G6AG29G30

18、G6BG6C犠犛犜G23G24G46G47G30G6DG6EG6FG29G30G25G23G70G71G72G5BG73G74G75G70:G76G75G70:G77G78G79G7AG46G47G7BG7CG7DG7E;G76G75G70:G7FG80G81G82G83G84;G76G75G70:G85G80G86G87G88G42G89;G76G75G70:G86G8AG46G47G3EG50;G76G75G70:G8BG5CG8CG21G41G42G69G6A;G76G75G70:G8CG21G41G42G69G6A;G76G75G70:G8CG8DG42G89;G76G75G70:G8

19、CG8DG8EG46G47G50G51;G76G75G70:G8FG90G91G92G93G94;G76G75G70:G95G96G67G93G94;G76G75G70:G97G98G81G82G83G84;G76G75G70:G99G9AG9BG68G3BG41G42G69G6A;G76G75G70:G9CG9DG9EG67G68G3BG41G42G69G6A;G76G75G70:G63G26G64G65G66G67G68G3BG77G78G7BG7CG7DG7E;G76G75G70:G63G26G64G65G66G67G68G3BG41G42G69G6A;G76G75G70:G34G78G

20、46G47G3EG50;G76G75G70:G9FG58GA0G45;G76G75G70:G4AG4BGA0G45;G76G75G70:GA1G58G7EG60;G76G75G70:G57G58(G4B)G7EG60。G7AG75G70G71GA2G76G75G70。G7AG75G70GA3GA4GA5G7FGA2G25GA6GA7GA8。G7AG75G70GA7GA8GA9GAA:GABGACGADGAEGAFG82GB0GB1G81G82G4B、GABGACGADGAEGAFG82GB0GB1G81G82G4BG5FGB2GB0GB1G81G4B、GACGB3G66G67G8FG90GB4GB5GACGB6GB7GB8GB9G46GACGB6。G7AG75G70G44G45GA7GA8G78:GBAGBBGBC、GBDGBE、GBFGC0GC1、GBDGC2GC3、GC4GC5GC5、GC6GC2GC7、GC8GC9、GCAGC0GCB、GCCGCD、GCEG

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