Method for creating clinical documents by medical information platform

Abstract

The invention provides a method for creating clinical documents by a medical information platform and relates to the technical field of computer software. Services of a front-end computer is based on the medical information platform and mounted on various medical institutions in a manner of the front-end computer. The technical scheme includes that the method includes six steps of data acquisition, CDA (command and data acquisition) document generation, data analysis, data checkout, data transmission and data storage. The service process of the front-end computer includes acquiring various basic service data of the medical institutions, generating the CDA documents according to HL7 standards, analyzing and checking the contents of the documents, if in failure in checking, feeding back to the medical institutions, and encrypting, transmitting and storing the CDA documents passing the checking.

Description

technical field [0001] The invention relates to the field of computer software, in particular to a method for making clinical documents using a medical information platform. Background technique [0002] At present, most medical institutions have their own information management systems, clinical information systems, etc., and have accumulated a large amount of personal health information. Generate data with a systematic data structure, and after transmitting it to other medical institutions or health management departments, you need to analyze and store the data according to your own actual system. Due to differences in data structures and encoding methods, many errors will occur and increase work burden. Using the HL7 international standard to generate CDA documents from business data can avoid problems caused by data structure and coding methods, making it easy to read. [0003] However, medical institutions need to learn the HL7 (Health Level 7 health information excha...

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Problems solved by technology

[0003] However, medical institutions need to learn the HL7 (Health Level 7 health information exchange standard) standard transmission protocol to generate CDA (Clinical Document Architecture) documents by themselves, and to verify the legality and validity of CDA documents requires a lot of manpower Financial resources, once the produced CDA document has errors, when it is parsed after being exchanged, the receiver cannot obtain the desired data, or the content of the document has errors, which affects work efficiency

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