Fast EMR (electronic medical record) entry system based on incremental term bank

A technology of electronic medical records and term base, applied in the direction of electronic digital data processing, special data processing applications, instruments, etc., can solve the problem of slow update of terminology candidates and achieve the effect of fast writing

Inactive Publication Date: 2014-01-29
CHINESE ACAD OF PREVENTIVE MEDICINE
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

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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  • Fast EMR (electronic medical record) entry system based on incremental term bank
  • Fast EMR (electronic medical record) entry system based on incremental term bank
  • Fast EMR (electronic medical record) entry system based on incremental term bank

Examples

Experimental program
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Effect test

Embodiment Construction

[0029] Take the symptoms entered in the chief complaint in the structured diabetes medical record as an example.

[0030] (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.

[0031]

[0032] (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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PUM

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Abstract

The invention discloses a fast EMR (electronic medical record) entry system based on an incremental term bank. The system comprises an intelligent medical input module and a term acquisition module. Through entry of EMR by the system, the real TCM clinical terms can be regularly applied to the real TCM clinical scientific researches, so that the information can be acquired accurately and efficiently in the clinical work, the clinical EMR meeting the quality control requirements can be produced, the new TCM clinical terms can be acquired timely, newly acquired medical clinical terms can be audited, uniform semantic interpretation can be performed through the audited medical terms, and the new terms can be applied more normally and standardly.

Description

technical field [0001] The invention relates to the technical field of electronic medical records, in particular to an electronic medical record rapid entry system based on an incremental term base. Background technique [0002] With the development of computer and Internet technology, most hospitals have realized electronic clinical records. At present, there are mainly two ways to enter electronic medical records, that is, 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 usually refers to the use of medical record templates to generate electronic medical recor...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): G06F19/00
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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