Electronic medical record processing and filing method based on layout files

A technology of electronic medical records and format files, which is applied in the field of medical archives, can solve problems such as missing metadata files, different formats of electronic medical records, and inconsistent data structures, so as to reduce manpower and storage, ensure the value of evidence, and achieve long-term use.

Active Publication Date: 2020-11-24
南京市卫生信息中心 +1
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  • Abstract
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  • Claims
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AI Technical Summary

Problems solved by technology

[0004]Due to problems such as different formats of electronic medical records, lack of metadata files, different formats of electronic signatures, inconsistent data structures, etc., electronic medical records cannot be formatted and standardized. It is impossible to focus on forming a standardized closed-loop management process in the collection, storage, management, and use of electronic medical records, and it is not easy to separate from the generation system of the hospital intranet for long-term storage and regional shared use, and it is difficult to reflect its management value and scientific research value

Method used

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  • Electronic medical record processing and filing method based on layout files
  • Electronic medical record processing and filing method based on layout files
  • Electronic medical record processing and filing method based on layout files

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Embodiment 1

[0052] see Figure 1-2 , a method for processing and archiving electronic medical records based on format files, comprising the following steps:

[0053] S1. Obtain from the clinical system / CDR the electronic medical record file in the same format as the paper version of the medical record document and the medical record auxiliary information description file in XML format for file metadata, health metadata and signature metadata;

[0054] S2. Sign the acquired metadata by calling the certified CA signature verification interface, and perform signature verification through PKI technology, that is, use mathematical methods and cryptographic algorithms in electronic documents to extract and encrypt metadata, and verify The authenticity, integrity and legal validity of the data source of the electronic medical record;

[0055] S3. Fill the file metadata, health metadata and signature metadata into the layout electronic medical record file, let the electronic medical record file ...

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Abstract

The invention discloses an electronic medical record processing and filing method based on layout files, and belongs to the field of medical archives. According to an electronic medical record processing and filing method based on layout files, paperless management of electronic medical records can be realized, the use of paper medical records can be reduced, the manpower and storage costs of medical and health institutions are greatly reduced through paperless management, sharing and retrieval of medical records are facilitated, online storage and retrieval of layout electronic medical records by patients are facilitated, and the business collaboration ability among medical and health institutions is improved; meanwhile, through the arrangement of the entity decryption card, when electronic edition handwritten signatures are inconsistent, the self-destruction effect is achieved, the entity decryption card loses the effect, and therefore the situation that the electronic medical recordis tampered is effectively avoided, and the accuracy of the electronic medical record is effectively guaranteed; under the arrangement of the tracking and early warning system, the tracking and earlywarning of the electronic medical record on the health of the patient can be effectively ensured, and the condition delay caused by purchasing prescription medicines by the patient according to the previous medical record is effectively avoided.

Description

technical field [0001] The invention relates to the field of medical archives, in particular to a method for processing and archiving electronic medical records based on format files. Background technique [0002] Electronic Medical Record (EMR, Electronic Medical Record) is also called computerized medical record system or computer-based patient record (CPR, Computer-Based Patient Record). It is a digital medical record that is saved, managed, transmitted and reproduced by electronic devices (computers, health cards, etc.) to replace handwritten paper medical records. Electronic medical records have the characteristics of initiative, completeness and correctness, knowledge association, and timely acquisition. They are digital medical service work records of medical institutions for clinical diagnosis, treatment, and guidance of outpatients and inpatients (or health care objects). Its contents include all the information of paper medical records. The National Institute of ...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): G06F21/64G06F21/60G06F16/81G16H10/60H04M1/725H05B3/02
CPCG06F21/64G06F21/602G16H10/60G06F16/81H05B3/02
Inventor 殷伟东苏逸飞杨丰华田娜黄进兵肇志伟李向锋陈平黄钊
Owner 南京市卫生信息中心
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