Accurate and quick electronic medical record type-in system

Abstract

The invention discloses an accurate and quick electronic medical record type-in system which consists of three parts, namely an intelligent medical input module, a medical term error correction module and a term acquisition module. According to the system for typing electronic medical records, traditional Chinese medicinal clinical terms from a real world can be standardly applied to traditional Chinese medicinal clinical scientific research work in the real world, so that information can be accurately and efficiently acquired in the clinical work, and clinical electronic medical records meeting a quality control requirement can be generated; furthermore, errors can be timely corrected, and new generated traditional Chinese medicinal clinical terms can be acquired; the new terms are examined and approved to ensure that traditional Chinese medicinal clinical electronic medical records can be written quickly and accurately.

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...

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