Terminal medical record quality evaluation input system and input method thereof

Abstract

The invention relates to a terminal medical record quality evaluation input system and an input method thereof. The terminal medical record quality evaluation input system comprises a data server subsystem, an input service terminal and a data transmission subsystem, wherein the data server subsystem is a server group with storage function and is supported by a database which stores terminal medical record information and the basic information data of inpatients; the input service terminal is used as a service terminal, sets parameter codes for the fields of information needing input, such as disease diagnosis names, codes (1CD10) of the disease diagnosis names, operation names, medical record blank contents, writing doctors, superior doctors and inspectors, analyzes the parameter codes and returns the selected contents to the input service terminal; and the data transmission subsystem is used as a network transmission device, realizes data transmission and detection and extracts and inputs the terminal medical record information and the basic information data of the inpatients from the data server subsystem to the input service terminal so as to realize data interaction. The input method normalizes and standardizes the quality evaluation data of terminal medical records.

Description

technical field [0001] The invention relates to a terminal medical record quality evaluation input system, in particular to an input method for extracting standard dictionary data by using parameters. Background technique [0002] Medical records are produced with the emergence of medicine and developed with the development of medicine. The earliest medical records kept by humans are the medical records of 48 surgical operations recorded by the Egyptian physician Imhotep around 290 AD. In our country, the scientific and systematic preservation of medical records has only a history of more than 80 years. Medical records are the objective basis for medical personnel to diagnose and identify patients' diseases, and they are also a comprehensive and systematic scientific summary of the treatment and outcome of patients. They are also valuable information in medical research. Therefore, complete medical records are not only a requirement for resolving medical disputes, but also...

AI Technical Summary

Problems solved by technology

However, the standards of the records written by hand are not uniform, the words are not standardized, and the paper records are easy to lose, and the storage period is short, which cannot provide reliable references for the clinical and administrative departments of the hospital in a timely and accurate manner.

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