CN103617343B - A kind of emergency treatment electronic medical record system and information processing method thereof - Google Patents
A kind of emergency treatment electronic medical record system and information processing method thereof Download PDFInfo
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- CN103617343B CN103617343B CN201310544546.9A CN201310544546A CN103617343B CN 103617343 B CN103617343 B CN 103617343B CN 201310544546 A CN201310544546 A CN 201310544546A CN 103617343 B CN103617343 B CN 103617343B
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Abstract
The invention discloses a kind of emergency treatment electronic medical record system and information processing method thereof, this emergency treatment electronic health record includes server, and electronic health record module, electric doctor's advice module, security maintenance module, information integration module and query statistic module.The present invention by the foundation of template, preserve and call, can quickly set up electronic health record, quickly assign electric doctor's advice, thus quickly output checklist, checklist and prescription list, thus it is adapted to feature and the characteristic of emergency treatment, valuable time can be saved especially for urgent rescue, case history input speed can be significantly improved, automatically generated prescription by doctor's advice.
Description
Technical field
The invention belongs to electronic health record technical field, relate at a kind of emergency treatment electronic medical record system and information thereof
Reason method.
Background technology
Emergency treatment clinical practice creates have in a large number clinical experiment be worth medical history information, for a long time,
Existing patient medical history system and inpatient cases system all cannot meet the feature of emergency record, cause emergency treatment
Medical record writing shortcoming specification, this summary that certainly will affect realization of Emergent Diagnosis And Treatment and further investigation, restrict the whole of emergency treatment
Body develops.Electronic health record and the electric doctor's advice system of modernization are used for emergency treatment clinic, it is achieved case history is cured
Advise the data in information with scientific research value to be acquired, store, analyze, inquire about, add up and meet China
The classical thought of modernization, has important practical significance, is to solve that current emergency treatment is clinical and scientific research is asked
One new way of topic.
Summary of the invention
A kind of emergency treatment electronic medical record system of offer and information processing method thereof are provided,
Thus it is applicable to electronic health record and the electric doctor's advice information processing of emergency center's use of hospital, improve emergency treatment
Clinical treatment and the efficiency of research work and quality.
The present invention is to be achieved through the following technical solutions:
A kind of emergency treatment electronic medical record system, this emergency treatment electronic health record includes server, and electronic health record mould
Block, electric doctor's advice module, security maintenance module, information integration module and query statistic module；
Described electronic health record module includes case history homepage unit, progress note unit and consultation note unit,
Every kind of unit is equipped with various template, and template can be set up and be stored in server, when needed from clothes
Business device calls, generates electronic health record；
Described electric doctor's advice module include medication unit, verification unit, inspection unit, disposal unit,
Surgical operation unit and nursing unit, every kind of unit is equipped with various template, and template can be set up and be stored in clothes
In business device, call from server when needed, generate electric doctor's advice；Electric doctor's advice module will additionally generate
Electric doctor's advice generate prescription preserving, and submit print request to server；
Described security maintenance module, is checked herein below in real time by server: sick to electronics
Go through the inspection of time sequencing in module, electric doctor's advice module, to each record key element in electronic health record module
Order, the inspection of content, to content in medication specification in electric doctor's advice module and the inspection of quantity；Institute
State check with set threshold ratio relatively after, provide information when not corresponding；
Described information integration module, collects information, medicine information, checking information and the inspection information of registering,
And be stored in server, and provide corresponding information to electronic health record module and electric doctor's advice module；
Described query statistic module, by server to electronic health record module and electric doctor's advice module, presses
Time, type are inquired about.
Every kind of template of described case history homepage unit includes personal information part, sets up time portion, master
Tell part, brief history section and previous history part；Template includes integral mold plate and independent template two kinds
Constituted mode, integral mold plate is the general information being pre-designed the type according to main suit's type, and retains
To relevant data modifications；Individually template is that each several part corresponding informance is constituted；
Described progress note unit, sets up first and is automatically generated by case history homepage, its trailer record course of disease
It is equipped with corresponding template；Progress note unit is additionally provided with prompting module, does not has the course of disease in the given time
During record, prompting module provides prompting message；
Described consultation note unit, it includes multiple conversation templates, and conversation templates can be repaiied after calling
Change.
Described electronic health record module also include handing over to the next shift record unit, case history sequencing table unit, CRRT is mono-
Unit, clinical blood transfusion require unit, diagnosis and treatment Informed Consent Form unit, go out check be in hospital letter of consent unit,
Agriculture is closed medical insurance policies and is informed book list unit, certificate of diagnosis unit, emergency hospitalization card unit, blood transfusion confirmation slip
Unit, blood transfusion letter of consent unit and adverse events report unit, each unit to be equipped with various template, template
Can set up and be stored in server, call from server when needed.
When template checks containing inspection the data of part, it is additionally provided with data list, selects respective counts
Input is realized according to rear；
Described template is additionally provided with the quick selection window of special symbol, and conventional special symbol is come
The prostatitis of quick selection window.
In the disposal unit of described electric doctor's advice module, it is additionally provided with self-defined template, after this template generation
It is saved in the middle of server, it is possible to repeated to call；
When generating the request containing submission inspection, inspection in electric doctor's advice, electric doctor's advice module generates to be examined
Test, check that request is single, and submit print request to server；Described electric doctor's advice module is generated
Electric doctor's advice can also be replicated, including the overall duplication of doctor's advice type, classification and dosage unit；Work as electricity
When the electric doctor's advice that sub-doctor's advice module is generated is standing orders, electric doctor's advice module sends this to server
The request that standing orders is repeatedly printed within the time limit of specifying.
Described electric doctor's advice module includes doctor workstation and nursing station, and doctor workstation assigns life
The electric doctor's advice become, nursing station receives pending electric doctor's advice, and sends electricity to doctor workstation
Sub-doctor's advice performs the time, performs state, the relevant information of operational staff；
Electric doctor's advice in the appointment time is also organized into doctor's advice originally by described electric doctor's advice module, including electricity
Sub-order contents and implementation status, and submit print request to server；When electric doctor's advice occurs to update
Doctor's advice content originally updates accordingly, and submits the continuous request of beating to server.
Described query statistic module includes data pick-up submodule, data mart modeling submodule, data query
With analysis submodule, data management submodule；Wherein, data pick-up submodule: extract from server
Data, the dimension of analytical data, data structure by definition reorganizes and deposits data；Data mart modeling
Module: the data mart modeling that data pick-up submodule extracts is become derivative data；Data query and analysis submodule
Block: on the basis of the data that data pick-up submodule and data mart modeling submodule produce, data are looked into
Ask and analyze, and result is exported；Data management submodule, it is provided that data inputting and the function of management.
A kind of information processing method of emergency treatment electronic medical record system, including following operation:
Build server, and carry out the electronic health record module of information exchange, electric doctor's advice mould with server
Block, security maintenance module, information integration module and query statistic module；
Described electronic health record module includes case history homepage unit, progress note unit and consultation note unit,
Every kind of unit is equipped with various template, and template can be set up and be stored in server, when needed from clothes
Business device calls template, generates electronic health record；Electronic health record is saved in server by the form of template and works as
In, for typing electronic health record after it is called；
Described electric doctor's advice module include medication unit, verification unit, inspection unit, disposal unit,
Surgical operation unit and nursing unit, every kind of unit is equipped with various template, and template can be set up and be stored in clothes
In business device, call from server when needed, generate electric doctor's advice；Electric doctor's advice module will additionally generate
Electric doctor's advice generate prescription preserving, and submit print request to server；
Described security maintenance module, is checked herein below in real time by server: sick to electronics
Go through the inspection of time sequencing in module, electric doctor's advice module, to each record key element in electronic health record module
Order, the inspection of content, to content in medication specification in electric doctor's advice module and the inspection of quantity；Institute
State check with set threshold ratio relatively after, provide information when not corresponding；
Described information integration module, collects information, medicine information, checking information and the inspection information of registering,
And be stored in server, and provide corresponding information to electronic health record module and electric doctor's advice module；Look into
Ask statistical module also record medical record information that patient goes to a doctor every time and preserved by these information integration, in order to
Statistical query；
Described query statistic module, by server to electronic health record module and electric doctor's advice module, presses
Time, type are inquired about.
Every kind of template of described case history homepage unit includes personal information part, sets up time portion, master
Tell part, brief history section and previous history part；Template includes integral mold plate and independent template two kinds
Constituted mode, integral mold plate is the general information being pre-designed the type according to main suit's type, and retains
To relevant data modifications；Individually template is that each several part corresponding informance is constituted；
Described progress note unit, sets up first and is automatically generated by case history homepage, its trailer record course of disease
It is equipped with corresponding template；Progress note unit is additionally provided with prompting module, does not has the course of disease in the given time
During record, prompting module provides prompting message；
Described consultation note unit, it includes multiple conversation templates, and conversation templates can be repaiied after calling
Change；When template checks containing inspection the data of part, it is additionally provided with data list, selects respective counts
Input is realized according to rear；
Described template is additionally provided with the quick selection window of special symbol, and conventional special symbol is come
The prostatitis of quick selection window.
In the disposal unit of described electric doctor's advice module, it is additionally provided with self-defined template, after this template generation
It is saved in the middle of server, it is possible to repeated to call；
When generating the request containing submission inspection, inspection in electric doctor's advice, electric doctor's advice module generates to be examined
Test, check that request is single, and submit print request to server；Described electric doctor's advice module is generated
Electric doctor's advice can also be replicated, including the overall duplication of doctor's advice type, classification and dosage unit；Work as electricity
When the electric doctor's advice that sub-doctor's advice module is generated is standing orders, electric doctor's advice module sends this to server
The request that standing orders is repeatedly printed within the time limit of specifying；
Described electric doctor's advice module includes doctor workstation and nursing station, and doctor workstation assigns life
The electric doctor's advice become, nursing station receives pending electric doctor's advice, and sends electricity to doctor workstation
Sub-doctor's advice performs the time, performs state, the relevant information of operational staff；
Electric doctor's advice in the appointment time is also organized into doctor's advice originally by described electric doctor's advice module, including electricity
Sub-order contents and implementation status, and submit print request to server；When electric doctor's advice occurs to update
Doctor's advice content originally updates accordingly, and submits the continuous request of beating to server.
Compared with prior art, the present invention has a following useful technique effect:
The present invention provide emergency treatment electronic medical record system and information processing method, by the foundation of template,
Preserve and call, it is possible to quickly setting up electronic health record, quickly assign electric doctor's advice, thus quickly output
Checklist, checklist and prescription list, thus it is adapted to feature and the characteristic of emergency treatment, especially for promptly
Rescue can save valuable time.
The emergency treatment electronic medical record system of present invention offer and information processing method thereof, be provided with substantial amounts of case history
Template, including individually recording element template and overall medical record templates, can quickly be recorded by these templates
Enter case history homepage, progress note, consultation note.While meeting medical record writing code requirement, according to
The different state of an illness being required for patient of clinical research design corresponding case history typing template, after being beneficial to
Query statistic, and set up consultation note, inspection to examine record, can remind within beyond the time limit.
The emergency treatment electronic medical record system of present invention offer and information processing method thereof, when typing case history, also
Can be very easily by inspection inspection result Rapid input to case history；And can by doctor's advice set meal and from
The mode of definition doctor's advice, quickly assigns corresponding doctor's advice according to the practical situation of patient, and doctor is assigning
After medication doctor's advice, system can automatically generate prescription according to doctor's advice, high degree shorten whole diagnosis and treatment week
Phase.
The emergency treatment electronic medical record system of present invention offer and information processing method thereof, also by query statistic mould
The series of measures such as case history amendment vestige is retained by block, data inputting is examined, working doctor prompting, it is ensured that
Case history typing quality, the medical record information simultaneously can collected integrates and preserves, improve medical record information collect and
The high efficiency of analyzing and processing and practicality；But also can flexibly, comprehensively, exactly by system acquisition
Various types of data carries out extracting, process, inquire about, analyze, add up and managing.
Accompanying drawing explanation
Fig. 1 is the composition schematic diagram of emergency treatment electronic medical record system.
Fig. 2 is query statistic module data process chart.
Detailed description of the invention
Below in conjunction with specific embodiment, the present invention is described in further detail, described in be to the present invention
Explanation rather than restriction.
Seeing Fig. 1, the emergency treatment electronic medical record system that the present invention provides, including server, and electronics is sick
Go through module, electric doctor's advice module, security maintenance module, information integration module and query statistic module；
Described electronic health record module includes case history homepage unit, progress note unit and consultation note unit,
Every kind of unit is equipped with various template, and template can be set up and be stored in server, when needed from clothes
Business device calls, generates electronic health record；
Described electric doctor's advice module include medication unit, verification unit, inspection unit, disposal unit,
Surgical operation unit and nursing unit, every kind of unit is equipped with various template, and template can be set up and be stored in clothes
In business device, call from server when needed, generate electric doctor's advice；Electric doctor's advice module will additionally generate
Electric doctor's advice generate prescription preserving, and submit print request to server；
Described security maintenance module, is checked herein below in real time by server: sick to electronics
Go through the inspection of time sequencing in module, electric doctor's advice module, to each record key element in electronic health record module
Order, the inspection of content, to content in medication specification in electric doctor's advice module and the inspection of quantity；Institute
State check with set threshold ratio relatively after, provide information when not corresponding；
Described information integration module, collects information, medicine information, checking information and the inspection information of registering,
And be stored in server, and provide corresponding information to electronic health record module and electric doctor's advice module；
Described query statistic module, by server to electronic health record module and electric doctor's advice module, presses
Time, type are inquired about.
Further, every kind of template of described case history homepage unit includes personal information part, when setting up
Between part, main suit's part, brief history section and previous history part；Template includes integral mold plate and list
Solely two kinds of constituted modes of template, integral mold plate is the general letter being pre-designed the type according to main suit's type
Breath, and retain relevant data modifications；Individually template is that each several part corresponding informance is constituted；
Described progress note unit, sets up first and is automatically generated by case history homepage, its trailer record course of disease
It is equipped with corresponding template；Progress note unit is additionally provided with prompting module, does not has the course of disease in the given time
During record, prompting module provides prompting message；
Described consultation note unit, it includes multiple conversation templates, and conversation templates can be repaiied after calling
Change.
And when template checks the data of part containing inspection, it is additionally provided with data list, selecting phase
Input is realized after answering data；
Described template is additionally provided with the quick selection window of special symbol, and conventional special symbol is come
The prostatitis of quick selection window
Concrete, electronic health record includes three kinds of forms: outpatient service, rescues, stay sight, prestores various template,
Including with lower unit: case history homepage, progress note (first progress note automatically generated by case history homepage,
Use template below, in the scheduled time, do not have progress note to remind), consultation note (use template,
Different revise again)；
And for integral mold plate and independent template, integral mold plate has been pre-designed this according to main suit's type exactly
The general information of type, then carries out corresponding data modification further according to personal feature；Individually template includes
Briefly medical history, previous history, feature, auxiliary examination；Template can also be set up, preserves, call；This
The old typing eliminating some general informations when setting up case history if sample, it is only necessary to call corresponding template；
And operator can also set up new template according to personal habits, can edit after template is called,
Preserve to generate IMR, it is also possible to this case history is preserved a template, is all present in the middle of server),
Personal information, time of setting up are accessed by interface, every kind of template include main suit, brief medical history, previous history,
General information and),
Template can be set up with oneself, and oneself uses；And special symbol is provided with quick selection window, commonly uses
Part is stood out.
Further, in case history typing module, including case history homepage, progress note, consultation note,
Outside the big primary module of doctor's advice four, the record that also includes handing over to the next shift, case history sequencing table, CRRT are mono-, clinical blood transfusion
Requirement, diagnosis and treatment Informed Consent Form, inspection letter of consent in hospital of going out, agriculture are closed medical insurance policies and are informed book, diagnosis
Testimonial, emergency hospitalization card, blood transfusion confirmation slip, blood transfusion letter of consent, adverse events report, and 13 little
Module.
In the disposal unit of described electric doctor's advice module, it is additionally provided with self-defined template, after this template generation
It is saved in the middle of server, it is possible to repeated to call；
When generating the request containing submission inspection, inspection in electric doctor's advice, electric doctor's advice module generates to be examined
Test, check that request is single, and submit print request to server；Described electric doctor's advice module is generated
Electric doctor's advice can also be replicated, including the overall duplication of doctor's advice type, classification and dosage unit；Work as electricity
When the electric doctor's advice that sub-doctor's advice module is generated is standing orders, electric doctor's advice module sends this to server
The request that standing orders is repeatedly printed within the time limit of specifying.
Described electric doctor's advice module includes doctor workstation and nursing station, and doctor workstation assigns life
The electric doctor's advice become, nursing station receives pending electric doctor's advice, and sends electricity to doctor workstation
Sub-doctor's advice performs the time, performs state, the relevant information of operational staff；
Electric doctor's advice in the appointment time is also organized into doctor's advice originally by described electric doctor's advice module, including electricity
Sub-order contents and implementation status, and submit print request to server；When electric doctor's advice occurs to update
Doctor's advice content originally updates accordingly, and submits the continuous request of beating to server.
Concrete, the typing of the template of electric doctor's advice module, call identical with electronic health record module, its bag
Include with lower unit: medication, check, check, dispose (doctor's advice self-defined, reuse), operation,
Nursing；Doctor workstation and nursing station, doctor assigns doctor's advice nurse and performs doctor's advice, and doctor sees and holding
Row time, state, execution nurse；Automatically generate prescription when submitting medication doctor's advice to preserve, print, and
Infusion patch in medication can be performed printing by nurse, is attached on infusion bottle；And for existing doctor's advice
Duplication, including doctor's advice type, classification, dosage unit etc., standing orders (same patient) repeat
Print prescription.Doctor's advice originally includes order contents, nurse's implementation status (including long-term and interim two types).
After doctor assigns doctor's advice according to the state of an illness of patient, during submitting to, electric doctor's advice module can root
According to the type of doctor's advice, automatically all of medication doctor's advice is generated prescription, and can manually adjust at individual
Quantity of drugs in side and the number of prescription, generated prescription directly can be printed and give by doctor
Patient goes to cash desk to pay the fees.
And the printing of case history, electric doctor's advice is: the layout of case history to be made as requested a word
Template, takes full advantage of the word efficient control to format editing, then by this word template generation RTX
Data-printing, replaces the actual value according to case history each for case history key element when printing, not only printing effect
Height, and form is attractive in appearance.
In information inquiry module, this patient the most medical situation in this hospital can be inquired about, including
Case history homepage time every time medical, progress note, consultation note, doctor's advice, the detailed letter that checks, check
Breath.It can be said that patient's diagnosis information enquiry module have recorded a patient in this hospital all of just
Examine information.
See Fig. 2, described query statistic module include data pick-up submodule, data mart modeling submodule,
Data query and analysis submodule, data management submodule；Wherein, data pick-up submodule: from service
Extracted data in device, the dimension of analytical data, data structure by definition reorganizes and deposits data；Number
According to processing submodule: the data mart modeling that data pick-up submodule extracts is become derivative data；Data query with
Analyze submodule: on the basis of the data that data pick-up submodule and data mart modeling submodule produce, logarithm
According to carrying out query analysis, and result is exported；Data management submodule, it is provided that data inputting and management
Function.
The information processing method of above-mentioned emergency treatment electronic medical record system, including following operation:
Build server, and carry out the electronic health record module of information exchange, electric doctor's advice mould with server
Block, security maintenance module, information integration module and query statistic module；
Described electronic health record module includes case history homepage unit, progress note unit and consultation note unit,
Every kind of unit is equipped with various template, and template can be set up and be stored in server, when needed from clothes
Business device calls template, generates electronic health record；Electronic health record is saved in server by the form of template and works as
In, for typing electronic health record after it is called；
Described electric doctor's advice module include medication unit, verification unit, inspection unit, disposal unit,
Surgical operation unit and nursing unit, every kind of unit is equipped with various template, and template can be set up and be stored in clothes
In business device, call from server when needed, generate electric doctor's advice；Electric doctor's advice module will additionally generate
Electric doctor's advice generate prescription preserving, and submit print request to server；
Described security maintenance module, is checked herein below in real time by server: sick to electronics
Go through the inspection of time sequencing in module, electric doctor's advice module, to each record key element in electronic health record module
Order, the inspection of content, to content in medication specification in electric doctor's advice module and the inspection of quantity；Institute
State check with set threshold ratio relatively after, provide information when not corresponding；
Described information integration module, collects information, medicine information, checking information and the inspection information of registering,
And be stored in server, and provide corresponding information to electronic health record module and electric doctor's advice module；Look into
Ask statistical module also record medical record information that patient goes to a doctor every time and preserved by these information integration, in order to
Statistical query；
Described query statistic module, by server to electronic health record module and electric doctor's advice module, presses
Time, type are inquired about.
The present invention provide emergency treatment electronic medical record system and information processing method, by the foundation of template,
Preserve and call, it is possible to quickly setting up electronic health record, quickly assign electric doctor's advice, thus quickly output
Checklist, checklist and prescription list, thus it is adapted to feature and the characteristic of emergency treatment, especially for promptly
Rescue can save valuable time.
Claims (9)
1. an emergency treatment electronic medical record system, it is characterised in that this emergency treatment electronic health record includes server,
And electronic health record module, electric doctor's advice module, security maintenance module, information integration module and inquiry system
Meter module；
Described electronic health record module includes case history homepage unit, progress note unit and consultation note unit,
Every kind of unit is equipped with various template, and template can be set up and be stored in server, when needed from clothes
Business device calls, generates electronic health record；
Described electric doctor's advice module include medication unit, verification unit, inspection unit, disposal unit,
Surgical operation unit and nursing unit, every kind of unit is equipped with various template, and template can be set up and be stored in clothes
In business device, call from server when needed, generate electric doctor's advice；Electric doctor's advice module will additionally generate
Electric doctor's advice generate prescription preserving, and submit print request to server；
Described security maintenance module, is checked herein below in real time by server: sick to electronics
Go through the inspection of time sequencing in module, electric doctor's advice module, to each record key element in electronic health record module
Order, the inspection of content, to content in medication specification in electric doctor's advice module and the inspection of quantity；Institute
State check with set threshold ratio relatively after, provide information when not corresponding；
Described information integration module, collects information, medicine information, checking information and the inspection information of registering,
And be stored in server, and provide corresponding information to electronic health record module and electric doctor's advice module；
Described query statistic module, by server to electronic health record module and electric doctor's advice module, presses
Time, type are inquired about；
Every kind of template of described case history homepage unit includes personal information part, sets up time portion, master
Tell part, brief history section and previous history part；Template includes integral mold plate and independent template two kinds
Constituted mode, integral mold plate is the general information being pre-designed the type according to main suit's type, and retains
To relevant data modifications；Individually template is that each several part corresponding informance is constituted；
Described progress note unit, sets up first and is automatically generated by case history homepage, its trailer record course of disease
It is equipped with corresponding template；Progress note unit is additionally provided with prompting module, does not has the course of disease in the given time
During record, prompting module provides prompting message；
Described consultation note unit, it includes multiple conversation templates, and conversation templates can be repaiied after calling
Change.
2. emergency treatment electronic medical record system as claimed in claim 1, it is characterised in that described electronics is sick
Go through module also include handing over to the next shift record unit, case history sequencing table unit, CRRT single unit, clinical blood transfusion to want
Ask unit, diagnosis and treatment Informed Consent Form unit, go out to check be in hospital letter of consent unit, agriculture conjunction medical insurance policies announcement
Know that book list unit, certificate of diagnosis unit, emergency hospitalization card unit, blood transfusion confirmation slip unit, blood transfusion are agreed to
Book list unit and adverse events report unit, each unit to be equipped with various template, and template can be set up and preserve
In server, call from server when needed.
3. emergency treatment electronic medical record system as claimed in claim 1, it is characterised in that when containing in template
When inspection checks the data of part, it is additionally provided with data list, after selecting corresponding data, realizes input；
Described template is additionally provided with the quick selection window of special symbol, and conventional special symbol is come
The prostatitis of quick selection window.
4. emergency treatment electronic medical record system as claimed in claim 1, it is characterised in that described electronics doctor
Advise in the disposal unit of module, be additionally provided with self-defined template, be saved in after this template generation in the middle of server,
Can be repeated to call；
When generating the request containing submission inspection, inspection in electric doctor's advice, electric doctor's advice module generates to be examined
Test, check that request is single, and submit print request to server；Described electric doctor's advice module is generated
Electric doctor's advice can also be replicated, including the overall duplication of doctor's advice type, classification and dosage unit；Work as electricity
When the electric doctor's advice that sub-doctor's advice module is generated is standing orders, electric doctor's advice module sends this to server
The request that standing orders is repeatedly printed within the time limit of specifying.
5. emergency treatment electronic medical record system as claimed in claim 1, it is characterised in that described electronics doctor
Advising module to include doctor workstation and nursing station, doctor workstation assigns the electric doctor's advice of generation, protects
Scholar's work station receives pending electric doctor's advice, and to doctor workstation send electric doctor's advice perform the time,
Execution state, the relevant information of operational staff；
Electric doctor's advice in the appointment time is also organized into doctor's advice originally by described electric doctor's advice module, including electricity
Sub-order contents and implementation status, and submit print request to server；When electric doctor's advice occurs to update
Doctor's advice content originally updates accordingly, and submits the continuous request of beating to server.
6. emergency treatment electronic medical record system as claimed in claim 1, it is characterised in that described inquiry system
Meter module includes data pick-up submodule, data mart modeling submodule, data query and analysis submodule, number
According to management submodule；Wherein, data pick-up submodule: extracted data from server, analytical data
Dimension, data structure by definition reorganizes and deposits data；Data mart modeling submodule: by data pick-up
The data mart modeling of submodule extraction becomes derivative data；Data query and analysis submodule: at data pick-up
On the basis of the data that module and data mart modeling submodule produce, data are carried out query analysis, and by result
Output；Data management submodule, it is provided that data inputting and the function of management.
7. the information processing method of an emergency treatment electronic medical record system, it is characterised in that include following operation:
Build server, and carry out the electronic health record module of information exchange, electric doctor's advice mould with server
Block, security maintenance module, information integration module and query statistic module；
Described electronic health record module includes case history homepage unit, progress note unit and consultation note unit,
Every kind of unit is equipped with various template, and template can be set up and be stored in server, when needed from clothes
Business device calls template, generates electronic health record；Electronic health record is saved in server by the form of template and works as
In, for typing electronic health record after it is called；
Described electric doctor's advice module include medication unit, verification unit, inspection unit, disposal unit,
Surgical operation unit and nursing unit, every kind of unit is equipped with various template, and template can be set up and be stored in clothes
In business device, call from server when needed, generate electric doctor's advice；Electric doctor's advice module will additionally generate
Electric doctor's advice generate prescription preserving, and submit print request to server；
Described security maintenance module, is checked herein below in real time by server: sick to electronics
Go through the inspection of time sequencing in module, electric doctor's advice module, to each record key element in electronic health record module
Order, the inspection of content, to content in medication specification in electric doctor's advice module and the inspection of quantity；Institute
State check with set threshold ratio relatively after, provide information when not corresponding；
Described information integration module, collects information, medicine information, checking information and the inspection information of registering,
And be stored in server, and provide corresponding information to electronic health record module and electric doctor's advice module；Look into
Ask statistical module also record medical record information that patient goes to a doctor every time and preserved by these information integration, in order to
Statistical query；
Described query statistic module, by server to electronic health record module and electric doctor's advice module, presses
Time, type are inquired about.
8. the information processing method of emergency treatment electronic medical record system as claimed in claim 7, it is characterised in that
Every kind of template of described case history homepage unit includes personal information part, sets up time portion, portion of main suit
Point, brief history section and previous history part；Template includes integral mold plate and independent template two kinds composition
Mode, integral mold plate is the general information being pre-designed the type according to main suit's type, and retains phase
Close data modification；Individually template is that each several part corresponding informance is constituted；
Described progress note unit, sets up first and is automatically generated by case history homepage, its trailer record course of disease
It is equipped with corresponding template；Progress note unit is additionally provided with prompting module, does not has the course of disease in the given time
During record, prompting module provides prompting message；
Described consultation note unit, it includes multiple conversation templates, and conversation templates can be repaiied after calling
Change；When template checks containing inspection the data of part, it is additionally provided with data list, selects respective counts
Input is realized according to rear；
Described template is additionally provided with the quick selection window of special symbol, and conventional special symbol is come
The prostatitis of quick selection window.
9. the information processing method of emergency treatment electronic medical record system as claimed in claim 7, it is characterised in that
In the disposal unit of described electric doctor's advice module, it is additionally provided with self-defined template, preserves after this template generation
In the middle of server, it is possible to repeated to call；
When generating the request containing submission inspection, inspection in electric doctor's advice, electric doctor's advice module generates to be examined
Test, check that request is single, and submit print request to server；Described electric doctor's advice module is generated
Electric doctor's advice can also be replicated, including the overall duplication of doctor's advice type, classification and dosage unit；Work as electricity
When the electric doctor's advice that sub-doctor's advice module is generated is standing orders, electric doctor's advice module sends this to server
The request that standing orders is repeatedly printed within the time limit of specifying；
Described electric doctor's advice module includes doctor workstation and nursing station, and doctor workstation assigns life
The electric doctor's advice become, nursing station receives pending electric doctor's advice, and sends electricity to doctor workstation
Sub-doctor's advice performs the time, performs state, the relevant information of operational staff；
Electric doctor's advice in the appointment time is also organized into doctor's advice originally by described electric doctor's advice module, including electricity
Sub-order contents and implementation status, and submit print request to server；When electric doctor's advice occurs to update
Doctor's advice content originally updates accordingly, and submits the continuous request of beating to server.
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