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Medical Record Abstractor: Abstract data for your organization’s selected measures with the measure code name (I-PN-4) designated in the left hand column under each data element question. 病历摘录者：为医院所选择的策略摘录数据，包括每个数据元素问题下左栏中所指定策略编码( I-PN-4)。 Hospital Name医院名称: +Plus symbol indicates required administrative data field加号表示所需的行政数据区 +Patient Identifier Number 患者识别号 +Admission Date入院日期 _______/_______/________ Day 日 month 月 year 年 +Discharge Date 出院日期 / / Day日 month月 year 年 Sex性别 Admitting Physician Code/Number 入院医生编码/号码 Attending Physician Code/Number 主治医生编码/号码 Principal Procedure Surgeon’s Code/Number 主要手术医师编码/号码 +Principal/Main Diagnosis or ICD Code 主要诊断/国际疾病分类编码 Present on Admission Diagnosis or ICD Codes 入院诊断/国际疾病分类编码 +Other Diagnosis or ICD Codes 其他诊断/国际疾病分类编码 Principal Procedure or ICD Code 主要处置/国际疾病分类编码 Principal Procedure Date 主要处置日期 +Other Procedure or ICD Codes 其他处置/国际疾病分类编码 After the case data abstraction and data flow is completed, circle the assigned Measure Category Assignment (MCA) Letter for each measure as guided by the allowable answer value “STOP” text: 完成病案数据抽象化及数据流后，随着许可的回答数值“STOP”文本的指引，圈出每个策略指定的策略类型赋值字母： EXAMPLE: If answered No, STOP I-PN-4 data abstraction = case NOT in Measure Population =B 例：如回答NO，停止I-PN-4的数据抽象化=病案不在策略人群中=B If there is no text prompt instructing you to STOP, continue data collection. 如果没有文本提示指示停止，继续收集每个策略的数据。 What is the date the patient was admitted to acute inpatient care?: Admission Date 患者收治入紧急住院治疗的日期是？：入院日期 (I-PN-4) / / Day 日 (01 – 31) Month月 (01 – 12) YYYY年 (2010 – current year当前年份) Does this case have a principal diagnosis of: 此病案是否有以下主要诊断 Pneumonia OR肺炎或 Septicemia or Respiratory Failure with an “other” diagnosis of pneumonia? ICD Principal Diagnosis Code国际疾病分类主要诊断编码 败血症或有“其他”肺炎诊断的呼吸衰竭？ (I-PN-4) (Appendix A, Table 3.1 PN, Table 3.2 Septicemia, Table 3.3 Respiratory Failure) 附录A，表格3.1肺炎，表格3.2