出生队列文档框架和内容模块创建

Create document framework and content module of birth cohort

目的基于长沙市实际情况和回顾性出生队列数据创建出生队列文档框架和内容模块，为创建出生队列信息应用软件（平台）提供参考。方法根据出生队列业务活动特点，结合中国基本公共卫生服务、城乡居民健康档案及电子病历等内容，创建出生队列文档框架和内容模块。结果创建了1个包括事件摘要、章节、数据组、数据元、值域和分类模式的文档框架及儿童基本情况、孕产妇家庭成员基本情况、儿童父亲基本健康状况等22类数据文档。创建94个内容模块，其中文档头12个（包括文档标识、研究对象标识、通讯等）；文档体82个，其中一级内容模块22个（包括家庭情况、健康检查、随访等），二级内容模块60个（包括家庭成员、住房、厨房等）。403个数据元，其中文档头62个（包括文档类型、文档名称、文档完成人员等），文档体341个（包括总数、租赁、楼层等）。结论创建的出生队列文档框架、94个内容模块及403个数据元反映了出生队列研究内容，可为出生队列信息软件（平台）建设提供依据。

Objective Based on the data of the retrospective birth cohort and actual situation of Changsha, the study is to create a document framework and the content module for birth cohort. Methods According to characteristics of birth cohort business activities, combining with the content of China＇s basic public health services, urban and rural residents＇ health records and electronic medical records, the study created document framework and the content module for birth cohort. Results The study created a document framework with events summary, section, data set, data element, value range and classification model and 22 data documents including children＇s basic situation, basic health basic situation of maternal family members and the chil- dren＇s father. The study also created 94 content modules with 12 document header （document identification, the study object i- dentification, communication, etc. ） and 82 document bodies with 22 first content module（ family situation, health check and fol- low-up etc. ） and 60 secondary content module （ document type, document name, document complete personnel, etc. ）. 403 data element were consisted of 62 data element of document header and 341 data element of document body. Conclusion Created document architecture, 94 content modules of birth cohort reflected study content of the birth cohort. It could supply the reference to build birth cohort information software or platform.