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智能门诊电子病历系统的构建与应用

Design and Application of Intelligent Outpatient Electronic Medical Record

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【作者】 王蓓王玮彭建明高红朱登浩

【Author】 Wang Bei;Wang Wei;Peng Jianming;Gao Hong;Zhu Denghao;People’s Hospital of Xinjiang Uygur Autonomous Region Information Network Center;

【机构】 新疆维吾尔自治区人民医院信息中心

【摘要】 门诊电子病历系统是医院信息系统中重要的组成部分,运用计算机技术优化门诊诊疗流程,构建一套安全可靠、灵活高效的智能门诊电子病历系统,为患者就诊提供便利。信息资源互通互联,有利于科室间协作,门诊处方实时审核,合理用药事前控制。建立符合医院实际的智能知识库和结构化电子病历诊疗数据记录,方便质控管理,为高级决策和科研教学提供支持。

【Abstract】 The outpatient electronic medical record is an important part of the hospital information system. To optimize outpatient treatment process and provide convenience for the patient, a set of safe, reliable, flexible and efficient intelligent outpatient electronic medical record system was built by using computer technology. It is advantageous to the coordination between departments, real-time audit of outpatient prescription and beforehand control of drug rational use because of the information interoperability. It is necessary to establish the factual hospital intelligent knowledge baseand structured electronic medical records diagnostic data records, which is convenient for outpatient service quality management and supporttive for high-level decision-making and research.

【基金】 新疆维吾尔自治区人民医院院内科研项目(项目编号:20140302)
  • 【文献出处】 中国卫生信息管理杂志 ,Chinese Journal of Health Informatics and Management , 编辑部邮箱 ,2016年03期
  • 【分类号】R197.323
  • 【被引频次】10
  • 【下载频次】231
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