| 电子病案结构和临床辅助决策系统设计 |
| |
| 引用本文： | 张燕,高非. 电子病案结构和临床辅助决策系统设计[J]. 中国病案, 2009, 10(4): 28-30 |
| |
| 作者姓名： | 张燕 高非 |
| |
| 作者单位： | 北京大学临床肿瘤学院、北京肿瘤医院,北京市,100036 |
| |
| 摘 要： | 目的建立肿瘤医院电子病案的临床辅助决策系统和其他业务分析工具。方法分析肿瘤疾病和治疗过程的特点，以及临床业务分析的需要，提出与“病人一住院次”平行的“病人一治疗次”电子病案结构，设计实现这种双重结构的病历书写模版。结果在此结构基础上利用数据仓库工具建立临床辅助决策演示系统，包括治疗路径决策和治疗方案决策。结论建立临床辅助决策系统的关键是电子病案提供符合临床逻辑的结构和数据。
|
| 关 键 词： | 电子病历 临床辅助决策系统 系统设计 临床逻辑 |
The structure of electronic medical record and the design of clinical accessorial decision system of Cancer Hospital |
| |
| Zhang Yan,Gao Fei. The structure of electronic medical record and the design of clinical accessorial decision system of Cancer Hospital[J]. Chinese Medical Record, 2009, 10(4): 28-30 |
| |
| Authors: | Zhang Yan Gao Fei |
| |
| Affiliation: | ( Tumor College of Peking University, Beijing Cancer Hospital) |
| |
| Abstract: | According to the need of cancer disease＇ s operation analysis and clinical demand, the electro medical record should have the diplex structure of patients and the times of being in hospital and patients and the times of therapy. Based on the structure, it is possible to set up the clinical acces- sorial decision system tool, including therapy progress decision and therapy program method decision by using the data warehouse. |
| |
| Keywords: | electromc medical record clinical accessorial decision system |
| 本文献已被 维普 万方数据 等数据库收录！ |
