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Dynamic structured electronic patient history

A technology of electronic medical records and medical records, applied in the medical field, can solve the problems that electronic medical records cannot meet the requirements of fixed and flexible at the same time, and achieve the effect of overcoming the requirements of fixed and flexible and meeting the requirements of fixed and flexible

Inactive Publication Date: 2008-08-06
B SOFT CO LTD
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0006] The purpose of the present invention is to provide a method for realizing electronic medical records, which can solve the problem that the electronic medical records in the prior art cannot meet the fixed and flexible requirements at the same time

Method used

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  • Dynamic structured electronic patient history
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Embodiment Construction

[0026] The present invention will be described in detail below with reference to the accompanying drawings and in combination with embodiments.

[0027] Fig. 1 shows the flowchart of the implementation method of the electronic medical record according to the embodiment of the present invention, comprises the following steps:

[0028] Step S10, constructing elements, the format of which is a standard format, used to input standardized diagnosis and treatment data;

[0029] Step S20, constructing chapters, the format of which is free format, used to enter the diagnosis and treatment information in natural language form, and to embed elements; and

[0030] Step S30, constructing a medical record, which is composed of chapters and used to enter medical records.

[0031] Because the electronic medical record implementation method adopts the three-layer structure of elements, chapters and medical records to construct the electronic medical record, it overcomes the problem that the ...

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Abstract

The invention provides a method for realizing electronic medical history and a device thereof; the method comprises the following steps of: element construction, chapter construction, element embedding and medical history construction; a format of the element construction is a standard format for inputting diagnosis and treatment data which can be standardized; a format of the chapter construction is a free format for inputting diagnosis and treatment information in a natural language form; a format of the medical history construction consists of chapters for inputting diagnosis and treatment records. The invention realizes the fusion of natural texts and structured texts of the electronic medical history and can meets the requirements of stationarytype and flexibility simultaneously.

Description

technical field [0001] The invention relates to the medical field, in particular to a method and device for realizing electronic medical records. Background technique [0002] Electronic Medical Record (EMR) is electronically managed information about personal health status and health care behavior, involving the collection, storage, transmission, processing and utilization of patient information. It can be used as the main information source in medical treatment to replace paper medical records, provide services beyond paper medical records, and meet medical, legal and management needs. [0003] The original electronic medical record is to store the medical record text electronically. Except for the changes in storage and writing methods, the medical record itself has not undergone any changes. At present, domestic electronic medical record products can be divided into scientific research applications and clinical applications. These two types of products have significant ...

Claims

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Application Information

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IPC IPC(8): G06F19/00G06F17/30
Inventor 葛航曹兴斌张吕峥沈健徐春华董祖琰
Owner B SOFT CO LTD
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