【作者】 段学智；

【导师】 孙迎春；

【作者基本信息】 东北师范大学 ， 生物物理， 2007， 硕士

【摘要】 随着计算机的应用及信息技术的发展,医院信息管理系统的开发与建设已成为医院改善医疗环境、提高管理水平和医疗水平的重要手段。电子病历作为医院信息系统的基础,不仅能将所有有关医疗信息通过信息技术处理,形成一个具有动感的图像和文书型记载的医疗信息存储、传输的系统,而且在医疗、科研、教学和医院管理方面起着越来越重要的作用,具有不可替代的现实意义,是医院信息化进程中的必然趋势。最新统计资料表明,目前肺癌发病率处于快速上升状态,病人的死亡率居高不下,已经成为威胁人类生命的重大疾病之一。而对肺癌病人除了采取常规的治疗方法之外,详细记录保存肺癌病人住院期间的治疗情况、定期随访出院后的病人,建立病人康复情况、生存情况、远期疗效、各种治疗方案等全面的病人档案,并以此为基础做更进一步的治疗,也是使病人全面康复的重要治疗手段之一。同时,通过定期的跟踪随访,还可以为医疗、教学、科研提供方便、快捷、可靠的第一手临床资料,这也是临床科室对单一病种记录亟待需求的手段。而传统的随访方式已经不能适应现代化的医院信息化管理系统。为此,如何将传统的医疗随访与现代的电子病历有机的结合在一起,加快医院信息化管理的进程,是当前急需解决的首要问题。本论文从电子病历的概念、相关背景和应用价值入手,结合我国现阶段医疗随访的现状分析和医护人员的迫切需求,采用技术成熟、操作简单的Visual FoxPro 8.0数据库编程语言,依据吉林大学第一医院胸外科提供的肺癌病人病历和随访记录项目内容,成功地编写了窗口型随访记录软件系统,并对其功能模块和程序代码做了详细介绍。更多还原

【Abstract】 With the widely application of the computer and the development of information technology, the research on the hospital information system (HIS) has become an important way to improve the medical environment, medical levels and administrative levels. As the basic component of the HIS, the electrical medical record (EMR) stores all the medical information, including images and texts, and makes them used more effectively. It plays more and more important roles in medical, research, education and hospital management. As an inevitable trend of Hospital information process, EMR has an irreplaceable practical significance.The lung cancer is the common disease which threatens the human life, and needs long-term tracing observation of curative effect. After making a follow-up visit may obtain the lung cancer patient information, including the survival situation after leaving hospital, the forward curative effect, comparisons of clinical practice effect of various kind of treatment plans as well as the recur and shift of lung cancer, which provide quick and reliable material for clinical medical service, teaching, scientific research. However, the traditional follow-up visit method has already not to adapt the modernized hospital information management system. Therefore, how to make a follow-up visit organically combining the traditional medical service with the modern electronic medical record, and speed up the hospital information management procedure is the most important question that needs to solve urgently.The present paper has developed the lung cancer patient electron medical record and the follow-up visit medical service system, which proceeding with the concept, the correlation background and the application value of electronic medical record, and combining with the present situation analysis and medical care personnel’s demand. This system is designed using Visual the FoxPro 8.0 databases programming language which has mature technology and simple operation in the present stage. The functional module and program codes of the follow-up visit medical service system are introduced in detail in the present paper.更多还原