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System and method for generating electronic medical record

A technology of electronic medical records and logical relationships, which is applied in the fields of electrical digital data processing, special data processing applications, instruments, etc., and can solve problems such as difficulty in editing

Active Publication Date: 2012-12-12
NANTONG KANGSHENG MEDICAL EQUIP
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

Since doctors are not used to these digital languages ​​used for computer semantic understanding, it is difficult to simultaneously edit the natural language and digital language content in the electronic medical record template and electronic medical records

Method used

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  • System and method for generating electronic medical record
  • System and method for generating electronic medical record
  • System and method for generating electronic medical record

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Embodiment Construction

[0028] figure 1 A system for generating electronic medical records in an embodiment is shown, the system includes a standard manager 100, an electronic medical record template generating unit 200 and an electronic medical record generating unit 300, wherein:

[0029] The standard manager 100 is used to provide a software module for visually entering and editing the data elements specified in the electronic medical record data standard and the logical relationship between the data elements, and generate data element documents according to the entered information. In one embodiment, the electronic medical record data standard can be various stipulated electronic medical record standards. The terminology, encoding and storage structure to be followed are specified.

[0030] In one embodiment, the standard manager 100 is further used to extend the computer representation of data elements and logical relationships among them, adding contextual information of data elements, includi...

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Abstract

The invention provides a system for generating an electronic medical record. The system comprises a standard manager, an electronic medical record template generating unit and an electronic medical record generating unit. The standard manager provides a software module for recording and editing data elements specified by an electronic medical record data standard and a logic relation among the data elements in visual mode, and a data element document is generated according to recorded information. The electronic medical record template generating unit is used for reading the data element document, generating a template editing interface visually according to the data element document, and generating an electronic medical record template by receiving user input. The electronic medical record generating unit selects and loads the electronic medical record template according to a specialized category / or patient information, a user interface for medical staff to record electronic medical record data is built dynamically according to the electronic medical record template, user commands are received and an electronic medical record is generated. By means of the system, the medical staff can conduct visual operation on natural language, and the generated electronic medical record fits computer semantics indication specified by the electronic medical record standard. In addition, the invention further provides a method for generating the electronic medical record.

Description

【Technical field】 [0001] The present invention relates to the technical field of electronic medical records, more specifically, to a system and method for generating electronic medical records. 【Background technique】 [0002] Electronic medical records are the main way to store and maintain patients' medical information, and they are also an important means for patients' health status information to be shared within the entire medical system. At present, most of the medical information systems used by major hospitals use their own proprietary data entry templates and entry structures, so the generated electronic medical records are difficult to share. [0003] Due to complex clinical needs, electronic medical record templates often follow professional departments (such as endocrinology, hepatobiliary surgery, etc.), clinical business processes (such as first consultation, postoperative, physical examination, etc.), hospitals (such as municipal hospitals, district hospitals, ...

Claims

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Application Information

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IPC IPC(8): G06F19/00
Inventor 廖京生刘立周树民杨忠波胡超王刚王海滨宫凯
Owner NANTONG KANGSHENG MEDICAL EQUIP
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