Evaluation system of electronic medical record

Abstract

The embodiment of the invention discloses an evaluation system of an electronic medical record. The system comprises an electronic medical record storage module used for storing electronic medical records, an evaluation tag storage module used for storing at least one evaluation tag about whether the filling of attribute values of attribute items meets a standard, a display module used for displaying at least one attribute item of to-be-displayed target medical records and corresponding attribute item evaluation assemblies in a preset medical record display interface, a real-time data acquisition center used for detecting an evaluation tag which is input by a user through the attribute item evaluation assembly to serve as a target evaluation tag, and an electronic medical record evaluationplatform used for inputting the target evaluation tag detected by the real-time data acquisition center into a preset electronic medical record evaluation model, and calculating the total evaluationscore of the target medical record according to the electronic medical record evaluation model. According to the invention, operated electronic medical records can be evaluated; and compared with theprior art, accuracy of record evaluation is improved.

Description

technical field [0001] The invention relates to the technical fields of medicine and electronic medical records, in particular to an evaluation system for electronic medical records. Background technique [0002] The quality control of traditional hospital-level medical records is mainly the quality control of terminal medical records, that is, to conduct spot checks on archived medical records or to check key departments of key diseases, and to modify the medical records or punish them after problems are found. Although the inspection method at this time It is helpful to improve the quality of medical records, but because it only checks the archived medical records, it cannot monitor the quality of filling in the patient's medical records during hospitalization, which leads to medical problems during hospitalization and surgery. In the event of a dispute, the quality of the sealed medical records cannot be guaranteed, which is not conducive to reducing the unfavorable facto...

AI Technical Summary

Problems solved by technology

Moreover, with the improvement of information systems and the popularization of computer management systems, electronic medical records have gradually replaced paper medical records, and most hospitals have adopted electronic medical records, which allows relevant departments to view all patient medical records in real time; The research and development of the electronic medical record quality control system has already started when the electronic medical record is used, but it is limited to the completion time of the medical record, project quality control, logical quality control, etc. Medical record quality control, still, according to the traditional method of manual inspection of terminal medical records, a lot of manpower is required to check the running medical records, and, in the traditional medical record inspection method, it is artificial and manual from the overall Check the medical records above to determine whether there are some omissions or imperfections in the medical records, and finally give a score as a whole. will be different

[0004] That is to say, in related technical solutions, the evaluation of electronic medical records has the problem of low accuracy due to manual scoring, and it is not suitable for electronic medical record management systems.

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