Accurate and quick electronic medical record type-in system

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

Inactive Publication Date: 2014-01-22
CHINESE ACAD OF PREVENTIVE MEDICINE
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Problems solved by technology

However, these new medical terms can only be manually entered into t

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  • Accurate and quick electronic medical record type-in system
  • Accurate and quick electronic medical record type-in system
  • Accurate and quick electronic medical record type-in system

Examples

Experimental program
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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 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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Application Information

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IPC IPC(8): G06Q50/24G06F17/30G16H10/60
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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