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Electronic medical record generation system and method

A technology of electronic medical records and medical records, applied in the direction of electronic digital data processing, special data processing applications, instruments, etc., can solve the problems of short doctor's diagnosis and treatment time, patient information collection, and reduce the efficiency of doctor's diagnosis and treatment, so as to meet business diversification, improve The efficiency of diagnosis and treatment, and the effect of saving time in seeing a doctor

Active Publication Date: 2017-07-14
长沙富格伦信息科技有限公司
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

However, in the outpatient process, due to the large number of patients and the short consultation time of the doctor unit, it is unrealistic for the doctor to manually enter the patient information into the system during the consultation room.
This not only fails to collect patient information, but also reduces the efficiency of doctors' diagnosis and treatment. Moreover, because the electronic medical record template is too rigid, doctors cannot effectively use the information recorded in the electronic medical record. This is why outpatient electronic medical records have not been fully used in hospitals. s reason

Method used

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  • Electronic medical record generation system and method
  • Electronic medical record generation system and method
  • Electronic medical record generation system and method

Examples

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Embodiment 1

[0042] Example 1: Please refer to figure 1 Shown, is the schematic flow chart of this embodiment, and the specific steps of this embodiment are:

[0043] Step S11: Customize the standard electronic medical record model that meets the national standard and the health standard through the standard model engine;

[0044] Step S12: Convert the standard model into a consultation model through the intelligent consultation engine, and the doctor customizes the questions again on the consultation model: including adding questions, deleting questions, modifying question names and question options, configuring question jump rules, adding Corresponding scales, etc.

[0045] The consultation model is converted into a consultation dialog box through the intelligent consultation engine, and the consultation model is parsed into a question-and-answer window on the mobile terminal. The patient fills in the information required by the doctor by answering questions in the consultation dialog b...

Embodiment 2

[0051] Example 2: Please refer to figure 2 As shown, it is a schematic flow chart of this embodiment. On the basis of Embodiment 1, this embodiment combines the scale engine with the semantic model engine, the standard model engine, and the intelligent consultation engine to provide a medical record model and The scale model is transformed into an electronic medical record system with a question-and-answer window on the mobile terminal. The system can realize the purpose of patients to complete the medical records and scale filling, and finally convert the medical records and scales into language information that is easy for doctors to view, which is not only convenient for patients The operation makes patients willing to accept medical records, saves a lot of time for doctors to see a doctor, and improves the efficiency of diagnosis and treatment.

[0052] The concrete steps of this embodiment are:

[0053] Step S21: Customize a standard electronic medical record model that...

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Abstract

The invention relates to the technical field of electronic medical records, in particular to an electronic medical record generation system and method. A standard model engine is used for customizing a structured standard electronic medical record information model meeting national standards and various standards of health and family planning commission; an intelligent inquiry engine converts the standard model into a structured inquiry model actively filled by a patient; a semantic model engine converts the standard model into a natural language medical record model conforming to language and reading habits of a doctor; and the patient answers the problems of the structured inquiry model, and then the system automatically converts an active medical record filled by the patient into a semantic medical record viewed by the doctor. According to the system and the method, the problem of standardization is solved; an active electronic medical record system initiated by a patient end guides the patient to actively input information of a present medical history, a past medical history and the like to the system in an inquiry simulation form; the patient actively fills in the medical record, so that the disease diagnosis time of the doctor is saved and the diagnosis and treatment efficiency is improved; and the filling of the medical record is finished by simulating an inquiry manner of a consultation room, so that actual demands of the patient are met in an innovative manner.

Description

technical field [0001] The invention relates to the technical field of electronic medical records, in particular to a system and method for generating electronic medical records. Background technique [0002] As a technical means to store patient diagnosis and treatment information in a digital carrier, electronic medical records have been widely used in the medical system. However, in the outpatient process, due to the large number of patients and the short consultation time of the doctor's unit, it is unrealistic for the doctor to manually enter the patient information into the system during the consultation room. This not only fails to collect patient information, but also reduces the efficiency of doctors' diagnosis and treatment. Moreover, because the electronic medical record template is too rigid, doctors cannot effectively use the information recorded in the electronic medical record. This is why outpatient electronic medical records have not been fully used in hospi...

Claims

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Application Information

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IPC IPC(8): G06F19/00G06F17/24
CPCG06F40/18G16H10/60
Inventor 郑蕾黄刊迪朱鸣
Owner 长沙富格伦信息科技有限公司
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