1.標識(Identification) 2.人口學及社會經(jīng)濟學特征(Demographics and social economics characteristics) 3.健康史(Health history) 4.主訴與癥狀(Chief complaint and symptom) 5.體格檢查(Physical examination) 6.臨床輔助檢查(Assistant examination) 7.實驗室檢查(Laboratory examination) 8.醫(yī)學診斷(Diagnosis) 9.醫(yī)學評估(Medical assessment) 10.計劃與干預(Medical plan and intervention) 11.衛(wèi)生費用(Healthcare expenditure) 12.衛(wèi)生機構(gòu)(Healthcare organization) 13.數(shù)據(jù)元值域代碼表(Data element range code table) 參考文獻