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Accurate and fast electronic medical record entering system

An electronic medical record, fast technology, applied in the input/output process of data processing, electronic digital data processing, special data processing applications, etc., can solve the problem of slow term candidate update and achieve the effect of efficient collection

Inactive Publication Date: 2014-01-15
CHINESE ACAD OF PREVENTIVE MEDICINE
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AI Technical Summary

Problems solved by technology

However, these new medical terms can only be manually entered into the term base or database, which delays the update of term candidates

Method used

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  • Accurate and fast electronic medical record entering system
  • Accurate and fast electronic medical record entering system
  • Accurate and fast electronic medical record entering system

Examples

Experimental program
Comparison scheme
Effect test

Embodiment Construction

[0041] Take the symptoms entered in the chief complaint in the structured diabetes medical record as an example.

[0042] (1) In the example, it is entered in the structured diabetes medical record, so the content of the configuration table is not empty. The configuration table written in XML language is shown below.

[0043]

[0044] (2) If it is currently necessary to enter the symptom "pain in the left upper limb" in the chief complaint, and the term exists in the medical terminology database. In a certain data element of the main complaint, first use the input module to input "left upper limb", and calculate according to the parameters in the configuration table and the association algorithm, then the first five candidates are "left upper limb pain", "left upper limb numbness", " Left upper limb soreness", "left upper limb cramping pain", "left upper limb tingling pain". Use the input module to display all the candidates, and display the first 5 candidates first.

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Abstract

The invention discloses an accurate and fast electronic medical record entering system which is composed of an intelligent medical input module, a medical term correcting module and a term acquiring module. Entering of an electronic medical record is achieved through the entering system, traditional Chinese medicine clinical terms from the real world can be applied to the traditional Chinese medicine clinical scientific research work in the real world in a standardized mode, accordingly, information can be collected accurately and efficiently in the clinical work, a clinical electronic medical record which meets a quality control requirement can also be generated, meanwhile, errors can be corrected timely, novel traditional Chinese medicine clinical terms can be acquired, the novel terms are examined and approved, and quick and accurate writing of the traditional Chinese medicine clinical electronic medical record is guaranteed.

Description

technical field [0001] The invention relates to the technical field of electronic medical records, in particular to a system for realizing accurate and rapid entry of electronic medical records. Background technique [0002] With the development of computer and Internet technology, most hospitals have realized electronic clinical records. However, the following three types of problems still generally exist. [0003] First of all, there are currently two main ways to enter electronic medical records, namely the pre-structured medical record entry method and the post-structured medical record entry method. The post-structured input method usually uses natural language to input, which is applied to the input of free-text electronic medical records. This method has a faster input speed, but the information obtained is unstructured. In the later scientific research, it is necessary to analyze the data A large number of operations are processed; the pre-structuring method usuall...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): G06F3/023G06F17/30
Inventor 刘保延曹馨宇郭玉峰周雪忠王斌周洪伟谢琪
Owner CHINESE ACAD OF PREVENTIVE MEDICINE
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