›› 2010, Vol. 5 ›› Issue (09): 775-777.

• 综述 • 上一篇    下一篇

新一代卒中电子病历系统的建立与应用

林琳,王韬   

  1. 北京市首都医科大学附属北京天坛医院信息中心
  • 收稿日期:2010-02-06 修回日期:2010-01-06 出版日期:2010-09-20 发布日期:2010-09-20
  • 通讯作者: 王韬

Establishment and Application of the New Generation of Stroke Electronic Medical Record

LIN Lin, WANG Tao.   

  • Received:2010-02-06 Revised:2010-01-06 Online:2010-09-20 Published:2010-09-20
  • Contact: WANG Tao

摘要: 在卒中患者的治疗过程中,患者临床信息、化验检查信息、病情转归信息及随访信息等数据对临床医生从事临床和科研工作极为重要。但是,由于卒中病历需要记载的医疗信息内容繁多,且通常以纸质形式存在,使得卒中病历相关信息在临床科研及教学等工作中无法得到充分利用。本研究将针对以上问题,重点阐述卒中电子病历系统的设计与功能。从而说明该系统符合卒中临床诊治信息承载功能,能够实现科学研究的电子病历系统。

关键词: 卒中; 病案系统; 计算机化; 数据说明; 统计

Abstract: Patient follow-up and scientific research data are very important to clinicians inthe stroke therapy. However, due to the medical records always have a huge amount of contentin paper form, these data of stroke medical records cannot be used in the clinical research andteaching. The point is to design the stroke electronic medical record (EMR). The electronicmedical record system which adapt to stroke treatment and research should be created.

Key words: Stroke; Medical records systems; computerized; Data interpretation; statistical