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基于HL7 CDA标准和XML技术在电子病历系统中的应用 总被引:2,自引:0,他引:2
在对电子病历系统互通性的分析基础上。简单论述了电子病历相关的HL7 CDA标准的主要内容、CDA标准与HL7 V3标准的相关性以及采用XML技术进行医疗文档描述的优点。最后介绍了CDA标准在电子病历系统中的应用举例。 相似文献
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Lee J 《Journal of medical systems》2012,36(5):3255-3260
The purpose of this study is to build an integrated medical information system for effective database management of clinical information and to improve the existing Electronic Medical Record (EMR)-based system that is currently being used in hospitals. The integrated medical information system of hospitals consists of an Order Communication System (OCS), Picture Archiving Communication System (PACS), and Laboratory Information System (LIS), as well as Electronic Medical Record (EMR). It is designed so that remote health screening and patient data search can be accessed through a high speed network-even in remote areas-in order to effectively manage data on medical treatment that patients received at their respective hospitals. The existing oriental treatment system is one in which the doctor requires the patient to visit the hospital in person, so as to be able to check the patient's pulse and measure it with his hand for proper diagnosis and treatment. However, due to the recent development of digitalized medical measurement equipment, not only can doctors now check a patient's pulse without touching it directly, but the measured data are computerized and stored into the database as the electronic obligation record. Thus, even if a patient cannot visit the hospital, proper medical treatment is available by analyzing the patient's medical history and diagnosis process in the remote area. Furthermore, when a comprehensive medical testing center system including the people medical examination and diverse physical examination is established, the quality of medical service is expected to be improved than now. 相似文献
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为实现标准化的区域医疗信息数据交换,以医院集成平台为核心,在现有医院各类信息系统基础上,按照标准的医疗CDA文档格式,将医院各类信息资源集成起来,构建符合区域卫生信息平台技术规范的CDA文档,实现与常熟市区域卫生信息平台数据交换。 相似文献
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随着医院信息化的发展,电子病历(Electronic Medical Record, EMR)在当前受到越来越多的关注,尤其在各级医疗院所及其健康体检中心,然而在医生需要正确获取患者资料时,确是件费力的事。尤其是在海量信息进行患者模糊查询,效率非常低下,同时全结构化电子病历仍然达不到医生看病的日常状态,大部分医院仍在使用非结构化的电子病历系统或SOAP诊断模式,围绕文本信息检索和电子病历相结合,旨在为信息查询提供思维的速度。除此之外,搜索处理技术对影像文件也可以进行处理,达到快速定位影像。 相似文献
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The Electronic Medical Record (EMR) is a computerized record of clinical, demographic and management information. EMR is an
enabling technology that allows physicians to utilize quality improvement processes in the practice of medicine. Oman is one
of the Middle Eastern Countries that has implemented an integrated electronic hospital information system at government health
care institutions. The system was first applied in primary health care centers and then implemented in hospitals. Survey research
highlights factors that affect physician satisfaction and utilizing of this new technology in a hospital setting. Outcome
survey data suggests areas for improvement. Specific concerns about patient confidentiality are discussed as well as quality
improvement in patient care. 相似文献
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The recent focus on health care quality improvement and cost containment has led some policymakers and practitioners to advocate
the adoption of health information technology. One such technology is the Electronic Medical Record (EMR), which is predicted
to change and improve health care in the USA. Little is known about factors that influence hospital adoption of this relatively
new technology. The purpose of this paper is to determine the national prevalence of EMR adoption in acute care hospitals
while examining the organizational and environmental correlates using a Resource Dependence Theoretical Perspective. Significant
predictors of hospital EMR use may indicate barriers to use for some hospitals and can be used to guide policy. This study
uses a non-experimental cross sectional design to examine hospital EMR use in 2004. A logistic regression approach is used
to determine the correlations between hospital EMR use and organizational and environmental characteristics. Hospital EMR
use was identified using the HIMSS Analytics data. Organizational and environmental variables were measured using data from
the AHA, CMS (financial and case mix) and ARF. Hospital EMR adoption is significantly associated with environmental uncertainty,
type of system affiliation, size, and urban-ness. The effects of competition, munificence, ownership, teaching status, public
payer mix, and operating margin were not statistically significant. Significant predictors of hospital EMR adoption represent
barriers that may prevent certain hospitals from obtaining and using EMRs. These hospitals include those that are smaller,
more rural, non-system affiliated, and in areas of low environmental uncertainty. Since EMR adoption may be an organizational
survival strategy for hospitals to improve quality and efficiency, hospitals that are at risk of missing the wave of implementation
should be offered services and incentives to enable them to implement and maintain EMR systems. 相似文献
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目的 基于口腔专科医院信息管理系统建设和电子病历系统开发的需要,设计适合临床电子病历录入、管理的口腔专科电子病历模板,促进口腔专科电子病历的推广应用.方法 在Windows 2000/XP平台上,采用面向对象技术,结合Html、XML、C#语言,利用自主开发的片段和标签设计,在DreamweaverMx 2004软件中,通过层叠样式表单(cascading style sheets,CSS)完成口腔专科电子病历模板的设计.结果 本研究成功建立了口腔专科电子病历模板,该模板可实现电子病历快速录入、病案质量管理、临床诊疗信息保存、查询等功能,满足口腔专科电子病历信息化管理的需要.结论 本研究设计的口腔专科电子病历模板,不但为建立口腔专科医院电子病历数据库和电子病历的共享、交换中心提供了信息载体,而且为今后建立完善统一的口腔专科电子病历模板库积累了经验. 相似文献
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电子病历在随访及科研中的应用 总被引:1,自引:0,他引:1
复旦大学附属肿瘤医院利用电子病历系统。为每个门诊和住院病人建立统一标识,病人历次就诊和住院的电子病历均被关联该标识。实现了病人随访信息的自动登记。并建立科研病史。通过结构化病历实现了科研信息的收集与检索。 相似文献
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根据我国医疗文书管理相关规定,遵循有关国际组织的健康文档标准化技术和方法,探讨了患者转诊时需要携带的个人健康信息的内容、文档结构以及数据标准化问题。转诊信息包括基本信息、转诊事件信息和临床信息三个方面,按照文档段/子文档段、数据组/子数据组、数据元等三个层次划分,形成包括10个文档段(子文档段)、18个数据组(子数据组)、123个数据元的转诊文档基本框架结构。文档段限定了所包含数据产生的背景和语境,数据组由一系列数据元组成。通过数据元属性描述进行标准化。研究表明,结构化和标准化的转诊文档可促进医疗信息传递中数据的准确、一致性理解。但有赖于共享范围内标准制定和应用的协调一致,目前我国还有大量的临床概念、术语和数据元有待标准化。 相似文献
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Takemura T Araki K Arita K Suzuki T Okamoto K Kume N Kuroda T Takada A Yoshihara H 《Journal of medical systems》2012,36(4):2213-2218
The movement of create medical information systems that is now taking place involves both progress in EMR (Electronic Medical Records)—computerization of records at hospitals and clinics, and also in EHR (Electronic Health Records) in which information is shared with individual regions. However, the geographical coming and going of people in modern society is extremely active. Naturally the places these people move to are not necessarily within the same region. For this reason, even if the basic unit for the health care supply system is in practical terms limited to the local level, if services are restricted to only one region, many persons may be unable to receive the benefits of health care cooperation. In this study, we constructed a mechanism for a medical cooperation system which links the EHR systems of individual regions and is able to create a one-patient, one-record system on the national level. In this paper, we will provide a report of this mechanism and of the 4-year operational trial. 相似文献
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电子病案在医疗领域中的应用 总被引:3,自引:2,他引:1
电子病案(Electronic Medical Record,EMR)是一项提高医疗质量和效率,降低医疗成本的医疗变革。它建立在医院医疗活动全面信息化的基础上,能提供主动的、智能化服务。它是用电子设备保存、管理、传输和重现的数字的病人的医疗记录,它包含了传统纸张病案的所有信息,也反映了患者的整个医疗过程。随着医疗信息及网络技术的发展,国内大医院已开始积极进行电子病案的研究。“军卫一号”工程的运用,加速了医院的现代化、信息化建设的步伐。我院是开展EMR较早的医院之一。电子病案具有传输速度快、存储量大、方便快捷等特点。电子病案扩大了医院的管理领域,变终未为环节,为国家和军队医疗宏伟管理提供了原始科学的数据信息资源。有效发挥病案在医、教、研方面的真正价值和作用。它对医院的内部管理、国家医疗保障、病人信息的异地共享也具有重要的意义。它是信息技术和网络技术在医疗领域的必然产物 相似文献