This standard specifies the terms and definitions, processes, components, information systems and information summary, analysis and utilization of health management of major chronic and non-communicable diseases (chronic diseases). It is suitable for medical and health service institutions, health examination institutions and health management-related enterprises to carry out health management services for individuals with major chronic diseases such as cardiovascular diseases, diabetes, cancer, chronic respiratory diseases and so on.
本标准规定了主要慢性非传染性疾病(慢性病)健康管理的术语和定义、流程、组成部分、信息系统及服务人群信息汇总、分析与利用。适用于医疗卫生服务机构、健康体检机构、健康管理相关企业等对个体开展心脑血管疾病、糖尿病、癌症、慢性呼吸系统疾病等主要慢性病的健康管理服务。.
Keywords: Chronic diseas; Group standard; Health management.