CN105678671A - Method and apparatus for generation of electronic medical record, mobile terminal and electronic medical record system - Google Patents
Method and apparatus for generation of electronic medical record, mobile terminal and electronic medical record system Download PDFInfo
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- CN105678671A CN105678671A CN201511018697.6A CN201511018697A CN105678671A CN 105678671 A CN105678671 A CN 105678671A CN 201511018697 A CN201511018697 A CN 201511018697A CN 105678671 A CN105678671 A CN 105678671A
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Abstract
The invention discloses a method for generation of electronic medical record in an electronic medical record system. The method comprises the steps: receiving a request for acquiring an electronic medical record, sent from a mobile terminal, wherein the request includes the identification for electronic medical record template types; acquiring an electronic medical record template file in the second format, corresponding to an electronic medical record template file in the first format indicated by the identification; sending the electronic medical record template file in the second format to the mobile terminal; receiving and storing the electronic medical record template file, in the second format, uploaded by the mobile terminal; selecting an electronic medical record template in the first format, corresponding to the type of the electronic medical record template in the second format; analyzing the electronic medical record data in the second format to obtain the electronic medical record data in the first format; and filling the electronic medical record data in the first format in the electronic medical record template in the first format, and generating an electronic medical record in the first format. The method for generation of electronic medical record can improve the flexibility, the timeliness and efficiency of the electronic medical record system.
Description
Technical field
The application relates to electronic health record technical field, particularly relates to the generation method of electronic health record, device, mobile terminal and electronic medical record system.
Background technology
Case history is that patient treats the protocol of overall process at hospital diagnosis, and it includes homepage, progress note, inspection assay, doctor's advice, operation record, nurses' notes etc. Along with hospital computer networking management, information storage medium--the application of CD and IC-card etc. and the globalization of Internet, electronic health record (EMR, ElectronicMedicalRecord) arises at the historic moment. Electronic health record is also computerized medical record system or claims computer based patient record (CPR, Computer-BasedPatientRecord). It is the medical records of the digitized patient preserving by electronic equipment such as computer, health card etc., manage, transmit and reappearing, and replaces hand-written paper case history. Its content includes all information of paper case history. As the product of scientific and technological progress, the advantages such as electronic health record facilitates record because of it, easy storage are increasingly widely applied in medical system.
But, in the middle of current electronic medical record system, it is only limitted to the mode of operation of PC, this makes doctor can only use electronic medical record system on PC, generate electronic health record, this feature greatly limit doctor and uses the scene of electronic medical record system, and therefore, the motility of its electronic medical record system cannot meet higher demand at present.
Summary of the invention
In view of this, this application provides and a kind of generate the method for electronic health record, device, mobile terminal and system, in order to doctor can use electronic medical record system more flexibly.
For achieving the above object, the application provides following technical scheme:
A kind of method generating electronic health record of disclosure, it is applied to electronic medical record system, in the server of described electronic medical record system, storage has the electronic health record template of at least one the first form pre-build, the type of described electronic health record template is one or more, and the method includes:
Receiving the request obtaining electronic health record that mobile terminal sends, described request includes: the mark of electronic health record template type;
Obtain the electronic health record template file of second form corresponding to electronic health record template of the first form indicated with described mark;
The electronic health record template file of described second form is sent to described mobile terminal, the electronic health record template file of described second form is the electronic health record template that described mobile terminal carries out resolving and generating the second form, generates the basis of the electronic health record data of the second form after receiving the sufferer information that user inputs in the electronic health record template of described second form;
Receive and store the electronic health record data of the second form that described mobile terminal is uploaded;
Select the electronic health record template of first form corresponding with the type of the electronic health record template of described second form;
Undertaken the electronic health record data of described second form resolving the electronic health record data obtaining the first form;
The electronic health record data of described first form are filled in the electronic health record template of described first form, generate the first form electronic health record.
Preferably, described acquisition with the process of the electronic health record template file of the second form corresponding to the electronic health record template of the first form of described mark instruction is: search the electronic health record template of first form corresponding with the mark of described electronic health record template type; Utilizing form to change, the electronic health record template generation for described first form is corresponding, the electronic health record template file of the second form.
Preferably, described acquisition with the process of the electronic health record template file of the second form corresponding to the electronic health record template of the first form of described mark instruction is: search the electronic health record template of second form corresponding with described mark in the electronic health record template file of at least one the second form previously generated.
Preferably, described second form is XML format.
Preferably, described XML format is the XML of the XML of CDR structure or element structure.
Invention additionally discloses a kind of method generating electronic health record, it is applied to electronic medical record system, in the server of described electronic medical record system, storage has the electronic health record template of at least one the first form pre-build, the type of described electronic health record template is one or more, including:
Send the request obtaining electronic health record to server, described request includes: the mark of electronic health record template type;
Receive the electronic health record template file with the second form corresponding to the electronic health record template of the first form of described mark instruction that described server sends;
Resolve the electronic health record template file of described second form, generate the electronic health record template of the second form;
Receive the sufferer information that user inputs in the electronic health record template of described second form, generate the electronic health record data of the second form;
Upload the electronic health record data of described second form, the electronic health record data of described second form are that described server selects the first form electronic health record template corresponding with the type of the electronic health record template of described second form, undertaken the electronic health record data of described second form resolving the electronic health record data obtaining the first form, the electronic health record data of described first form are filled in described first form electronic health record template, generate the basis of the first form electronic health record.
Invention additionally discloses a kind of device generating electronic health record, including:
Request reception unit, for receiving the request obtaining electronic health record that mobile terminal sends, described request includes: the mark of electronic health record template type;
File obtaining unit, for obtaining and the electronic health record template file of the second form corresponding to the electronic health record template of the first form of described mark instruction;
File transmitting element, for the electronic health record template file of described second form is sent to described mobile terminal, the electronic health record template file of described second form is the electronic health record template that described mobile terminal carries out resolving and generating the second form, generates the basis of the electronic health record data of the second form after receiving the sufferer information that user inputs in the electronic health record template of described second form;
Data receipt unit, for receiving and store the electronic health record data of the second form that described mobile terminal is uploaded;
Template selection unit, for selecting the first form electronic health record template corresponding with the type of the electronic health record template of described second form;
Data parsing unit, for being undertaken resolving the electronic health record data obtaining the first form by the electronic health record data of described second form;
Case history generates unit, for the electronic health record data of described first form being filled in described first form electronic health record template, generates the first form electronic health record.
Invention additionally discloses a kind of device generating electronic health record, including:
Request transmitting unit, for sending the request obtaining electronic health record to server, described request includes: the mark of electronic health record template type;
File reception unit, for receiving the electronic health record template file with the second form corresponding to the electronic health record template of the first form of described mark instruction that described server sends;
Document analysis unit, for resolving the electronic health record template file of described second form, generates the electronic health record template of the second form;
Information receiving unit, for receiving the sufferer information that user inputs in the electronic health record template of described second form, generates the electronic health record data of the second form;
Uploading unit, for uploading the electronic health record data of described second form, the electronic health record data of described second form are that described server selects the first form electronic health record template corresponding with the type of the electronic health record template of described second form, undertaken the electronic health record data of described second form resolving the electronic health record data obtaining the first form, the electronic health record data of described first form are filled in described first form electronic health record template, generate the basis of the first form electronic health record.
Invention additionally discloses a kind of mobile terminal, including the above-mentioned device generating electronic health record.
Invention additionally discloses a kind of electronic medical record system, including: server, at least one mobile terminal being connected with described server, in described server, storage has the electronic health record template of at least one the first form pre-build, the type of described electronic health record template is one or more, wherein:
Described mobile terminal for sending the request obtaining electronic health record to server, and described request includes: the mark of electronic health record template type; Receive the electronic health record template file with the second form corresponding to the electronic health record template of the first form of described mark instruction that described server sends; Resolve the electronic health record template file of described second form, generate the electronic health record template of the second form; Receive the sufferer information that user inputs in the electronic health record template of described second form, generate the electronic health record data of the second form, upload the electronic health record data of described second form;
Described server, for receiving the request obtaining electronic health record that mobile terminal sends, obtains and the electronic health record template file of the second form corresponding to the described electronic health record template identifying the first corresponding form; The electronic health record template file of second form corresponding with described mark is sent to described mobile terminal, receives and store the electronic health record data of the second form that described mobile terminal is uploaded; Select the first form electronic health record template corresponding with the type of the electronic health record template of described second form; Undertaken the electronic health record data of described second form resolving the electronic health record data obtaining the first form; The electronic health record data of described first form are filled in described first form electronic health record template, generate the first form electronic health record.
Known via above-mentioned technical scheme:
In the disclosed method generating electronic health record of the embodiment of the present application, server is after the request receiving mobile terminal, the electronic health record template file of second form corresponding with the electronic health record template of the first form in electronic medical record system is sent to mobile terminal, this second form is the data form that mobile terminal is capable of identify that, so that mobile terminal can resolve this document and obtain the electronic health record template of the second form, and receive the information of user's input, then the electronic health record data of the second form are generated, upload onto the server, by server, the electronic health record data of the second form are converted to the first form, and it is filled in the electronic health record template of the first form of respective type, and then generation electronic health record. in this process, server is by generating the electronic health record template file of the second form that the mobile terminal corresponding with the electronic health record template of the first form in electronic medical record system is capable of identify that, allow users at any time with any place, the data of electronic health record are inputted by mobile terminal, recycling server completes the generation of electronic health record, and it is no longer limited by the placement location of PC, it is greatly improved the motility of electronic medical record system, widen the application scenarios of electronic medical record system, and further improve the promptness of electronic medical record system, improve the efficiency generating electronic health record.
Accompanying drawing explanation
In order to be illustrated more clearly that the embodiment of the present application or technical scheme of the prior art, the accompanying drawing used required in embodiment or description of the prior art will be briefly described below, apparently, accompanying drawing in the following describes is only embodiments herein, for those of ordinary skill in the art, under the premise not paying creative work, it is also possible to obtain other accompanying drawing according to the accompanying drawing provided.
Fig. 1 is the schematic diagram of electronic health record template disclosed in the embodiment of the present application;
Fig. 2 is the disclosed method flow diagram generating electronic health record of the embodiment of the present application;
Fig. 3 is the schematic diagram of the electronic health record template file of the second form disclosed in the embodiment of the present application;
Fig. 4 is the schematic diagram of the electronic health record template file of another second form disclosed in the embodiment of the present application;
Fig. 5 is the method flow diagram of another generation electronic health record disclosed in the embodiment of the present application;
Fig. 6 is the method flow diagram of another generation electronic health record disclosed in the embodiment of the present application;
Fig. 7 is the structural representation of the disclosed device generating electronic health record of the embodiment of the present application;
Fig. 8 is the structural representation of the device of another generation electronic health record disclosed in the embodiment of the present application;
Fig. 9 is the structural representation of electronic medical record system disclosed in the embodiment of the present application.
Detailed description of the invention
Below in conjunction with the accompanying drawing in the embodiment of the present application, the technical scheme in the embodiment of the present application is clearly and completely described, it is clear that described embodiment is only some embodiments of the present application, rather than whole embodiments. Based on the embodiment in the application, the every other embodiment that those of ordinary skill in the art obtain under not making creative work premise, broadly fall into the scope of the application protection.
The disclosed method generating electronic health record of the embodiment of the present application, is applied to electronic medical record system, in this system, is previously stored with the electronic health record template of at least one the first form in server, and this first form is the data form created based on windows platform. Further, electronic health record template can have polytype, it is possible to creates the template comprising different content according to different section office, it is also possible to the number of times according to patient admission, creates different types of template, do not limit at this.
Fig. 1 is the example of the electronic health record template of one of which type. Wherein, wherein name, occupation, sex, home address etc. are the plain text of medical record templates, are wherein element text with the content of { } and check box. Other kinds of electronic health record template is compared with this example, can be different in terms of content, can also be different in layout, or, the form of the shape of check box or final election is adjusted, such as check box is provided in round, is set as clicking or choosing etc. by the form of final election.
At present, mobile terminal includes: laptop computer, smart mobile phone, panel computer or PDA (palm PC) etc. Its operating system includes IOS system, Android system and Windows system etc. Create owing to electronic medical record system is based on windows platform, and cannot be compatible between itself and the mobile terminal using IOS system, Android system, therefore, this is the key factor that restriction electronic medical record system generates electronic health record flexibly. In order to solve this problem, on the basis of the above, the method for the embodiment of the present application disclosed generation electronic health record is as in figure 2 it is shown, include:
Step S201: receiving the request obtaining electronic health record that mobile terminal sends, described request includes: the mark of electronic health record template type;
This mark can be the pre-assigned unique numbering of electronic health record template type, for instance 001,002 or A, B etc. When the template type difference of different department, its mark can also be english abbreviation or the initials in chinese pinyin combination of these section office, for instance, ophthalmology is Eye or YK. Herein by way of example only, this kind of mode it is not limited to.
Step S202: obtain the electronic health record template file of second form corresponding to electronic health record template of the first form indicated with described mark;
In the present embodiment, the electronic health record template file of the second form is can by the form of mobile terminal identification, for instance, the second form is XML (can labelling extension language) form. Wherein, XML format can be the XML of the XML of CDR (clinical data center) structure or element structure.
For the electronic health record template of the first form shown in Fig. 1, the electronic health record template file of the second form of its correspondence can be the XML of CDR structure as shown in Figure 3. In Fig. 3, the definition of each node refer to table 1:
Table 1
| Node | Definition | Remarks |
| CDR | CDR start node | Root node |
| section | Table node | Form configuration information in medical record templates |
| text | Plain text node | Plain text in medical record templates |
| fieldelem | Node element | Element information in medical record templates |
Certainly, the electronic health record template file of the second form can also be the XML of element structure as shown in Figure 4.In Fig. 4, the definition of each node refer to table 2:
Table 2
Step S203: the electronic health record template file of described second form is sent to described mobile terminal;
The electronic health record template file of the second form is the electronic health record template that described mobile terminal carries out resolving and generating the second form, generates the basis of the electronic health record data of the second form after receiving the sufferer information that user inputs in the electronic health record template of described second form.
Step S204: receive and store the electronic health record data of the second form that described mobile terminal is uploaded;
Step S205: select the electronic health record template of first form corresponding with the type of the electronic health record template of described second form;
Step S206: undertaken the electronic health record data of described second form resolving the electronic health record data obtaining the first form;
Step S207: the electronic health record data of described first form are filled in the electronic health record template of described first form, generate the electronic health record of the first form.
In the disclosed method generating electronic health record of the present embodiment, server is by generating the electronic health record template file of the second form that the mobile terminal corresponding with the electronic health record template of the first form in electronic medical record system is capable of identify that, allow users at any time with any place, the data of electronic health record are inputted by mobile terminal, recycling server completes the generation of electronic health record, and it is not only restricted to the placement location of PC, it is greatly improved the motility of electronic medical record system, widen the application scenarios of electronic medical record system, and further improve the promptness of electronic medical record system, improve the efficiency generating electronic health record.
Further, in the application, mobile terminal, by sending the mode of request to server, obtains the electronic health record template file of the second form in real time. This, compared with in advance the electronic health record template file of each the second form being stored in mobile terminal this locality, has certain advantage. This is because, when electronic health record template style or content change, the formula of mobile equipment must be modified and mate amended medical record templates form, owing to medical record templates form majority is different, if multiple medical record templates change, then the medical record templates of all changes will be done formula coupling at each mobile equipment, very big workload can be caused, and, it has not been convenient to safeguard electronic medical record system.
Mentioning in the above-described embodiments, the process of electronic health record template file with second form corresponding to electronic health record template of the first form of described mark instruction that obtains comprises two ways, one way in which particularly as follows:
The electronic health record template file of at least one the second form previously generated is searched the electronic health record template of second form corresponding with described mark.
And the flow process of another way is as it is shown in figure 5, include:
Step S501: search the electronic health record template of first form corresponding with the mark of described electronic health record template type;
Step S502: utilize form to change, the electronic health record template generation for described first form is corresponding, the electronic health record template file of the second form.
In the present embodiment, step S502 can also be refined as, and replicates the electronic health record template of the first form, by replicating that obtain or the electronic health record template of the first original form being changed by form, obtains the electronic health record template file of the second form. Why in this way, it is to ensure that in server and stores the electronic health record template having the first form and the second electronic health record template file of its correspondence simultaneously.
When for the first implementation, server only needs the first electronic health record template file of second form of electronic health record template generation for each type, then update in the electronic health record template of a certain type, or when having new electronic health record template to add in server, again for renewal occurs, or newly added electronic health record template performs to generate the operation of the electronic health record template file of the second form.
But, when the request time of server reception mobile terminal just occurs the electronic health record template at a certain first form to update, but when also the electronic health record template file of the second form of its correspondence not being updated, it is possible to occur that the electronic health record template file of the second form not updated is sent to mobile terminal by server, and mobile terminal utilizes this document to obtain electronic health record data, and then cause that server is made mistakes when utilizing electronic health record data genaration electronic health record.
And when for the second implementation, server can generate the electronic health record template file of the second form in real time according to the electronic health record template of the first current form, thus ensureing that the electronic health record template of the first form and the electronic health record template file of the second form have very high correspondence, avoid the problem that in an implementation, electronic health record is made mistakes, but have a disadvantage in that, the electronic health record template of a certain first form can be carried out the conversion of many secondary data, occupy the memory source of server.
The present embodiment does not limit any mode of employing to realize this programme, it is possible to select corresponding preferably processing mode according to actual situation.
Above-described embodiment is the angle from server, the description that the process generating electronic health record is carried out, and as the electronic medical record system in the application, it also includes the ingredient that another is important, mobile terminal, and this mobile terminal can be mobile phone or flat board. Below, from the angle of mobile terminal, the method is illustrated.
With reference to flow process shown in Fig. 6, including:
Step S601: send the request obtaining electronic health record to server, described request includes: the mark of electronic health record template type;
Step S602: receive the electronic health record template file with the second form corresponding to the electronic health record template of the first form of described mark instruction that described server sends;
Step S603: resolve the electronic health record template file of described second form, generates the electronic health record template of the second form;
Step S604: receive the sufferer information that user inputs in the electronic health record template of described second form, generate the electronic health record data of the second form;
Step S605: upload the electronic health record data of described second form, the electronic health record data of described second form are that described server selects the first form electronic health record template corresponding with the type of the electronic health record template of described second form, undertaken the electronic health record data of described second form resolving the electronic health record data obtaining the first form, the electronic health record data of described first form are filled in described first form electronic health record template, generate the basis of the first form electronic health record.
In the disclosed method generating electronic health record of the present embodiment, server is by generating the electronic health record template file of the second form that the mobile terminal corresponding with the electronic health record template of the first form in electronic medical record system is capable of identify that, allow users at any time with any place, the data of electronic health record are inputted by mobile terminal, recycling server completes the generation of electronic health record, and it is no longer limited to the placement location of PC, it is greatly improved the motility of electronic medical record system, widens the application scenarios of electronic medical record system. And further improve the promptness of electronic medical record system, improve the efficiency generating electronic health record.
Further, in the application, mobile terminal, by sending the mode of request to server, obtains the electronic health record template file of the second form in real time.This, compared with in advance the electronic health record template file of each the second form being stored in mobile terminal this locality, has certain advantage. This is because, when electronic health record template style or content change, so the formula of mobile equipment must be modified and mate amended medical record templates form, owing to medical record templates form majority is different, if multiple medical record templates changes, then will to the medical record templates of all changes at mobile equipment, do formula coupling, very big workload can be caused, and, it has not been convenient to safeguard electronic medical record system.
The application also discloses a kind of device generating electronic health record, and this device is arranged on server, its structure as it is shown in fig. 7, comprises:
Request reception unit 701, for receiving the request obtaining electronic health record that mobile terminal sends, described request includes: the mark of electronic health record template type;
File obtaining unit 702, for obtaining and the electronic health record template file of the second form corresponding to the electronic health record template of the first form of described mark instruction;
File transmitting element 703, for the electronic health record template file of described second form is sent to described mobile terminal, the electronic health record template file of described second form is the electronic health record template that described mobile terminal carries out resolving and generating the second form, generates the basis of the electronic health record data of the second form after receiving the sufferer information that user inputs in the electronic health record template of described second form;
Data receipt unit 704, for receiving and store the electronic health record data of the second form that described mobile terminal is uploaded;
Template selection unit 705, for selecting the first form electronic health record template corresponding with the type of the electronic health record template of described second form;
Data parsing unit 706, for being undertaken resolving the electronic health record data obtaining the first form by the electronic health record data of described second form;
Case history generates unit 707, for the electronic health record data of described first form being filled in described first form electronic health record template, generates the first form electronic health record.
The work process of the disclosed device generating electronic health record of the present embodiment refer to Fig. 2 or embodiment illustrated in fig. 5, and particular content does not repeat them here.
The embodiment of the present application also discloses the device of another generation electronic health record, and this device is arranged on mobile terminal, its structure as shown in Figure 8, including:
Request transmitting unit 801, for sending the request obtaining electronic health record to server, described request includes: the mark of electronic health record template type;
File reception unit 802, for receiving the electronic health record template file with the second form corresponding to the electronic health record template of the first form of described mark instruction that described server sends;
Document analysis unit 803, for resolving the electronic health record template file of described second form, generates the electronic health record template of the second form;
Information receiving unit 804, for receiving the sufferer information that user inputs in the electronic health record template of described second form, generates the electronic health record data of the second form;
Uploading unit 805, for uploading the electronic health record data of described second form, the electronic health record data of described second form are that described server selects the first form electronic health record template corresponding with the type of the electronic health record template of described second form, undertaken the electronic health record data of described second form resolving the electronic health record data obtaining the first form, the electronic health record data of described first form are filled in described first form electronic health record template, generate the basis of the electronic health record of the first form.
The work process of the disclosed device generating electronic health record of the present embodiment refer to embodiment illustrated in fig. 6, and particular content does not repeat them here.
The application also discloses a kind of mobile terminal, and it includes the device generating electronic health record as shown in Figure 8.
The application also discloses a kind of electronic medical record system, its structure is as shown in Figure 9, including server 901, at least one mobile terminal 902 being connected with described server, in described server 901, storage has the electronic health record template of at least one the first form pre-build, the type of described electronic health record template is one or more, wherein:
Described mobile terminal 902 for sending the request obtaining electronic health record to server, and described request includes: the mark of electronic health record template type; Receive the electronic health record template file with the second form corresponding to the electronic health record template of the first form of described mark instruction that described server sends; Resolve the electronic health record template file of described second form, generate the electronic health record template of the second form; Receive the sufferer information that user inputs in the electronic health record template of described second form, generate the electronic health record data of the second form, upload the electronic health record data of described second form;
Described server 901, for receiving the request obtaining electronic health record that mobile terminal sends, obtains and the electronic health record template file of the second form corresponding to the described electronic health record template identifying the first corresponding form; The electronic health record template file of second form corresponding with described mark is sent to described mobile terminal, receives and store the electronic health record data of the second form that described mobile terminal is uploaded; Select the first form electronic health record template corresponding with the type of the electronic health record template of described second form; Undertaken the electronic health record data of described second form resolving the electronic health record data obtaining the first form; The electronic health record data of described first form are filled in described first form electronic health record template, generate the first form electronic health record.
The present embodiment is disclosed generates electronic medical record system, server is by generating the electronic health record template file of the second form that the mobile terminal corresponding with the electronic health record template of the first form in electronic medical record system is capable of identify that, allow users at any time with any place, the data of electronic health record are inputted by mobile terminal, recycling server completes the generation of electronic health record, and no longer it is only limitted to the placement location of PC, it is greatly improved the motility of electronic medical record system, widens the application scenarios of electronic medical record system. And further improve the promptness of electronic medical record system, improve the efficiency generating electronic health record.
Further, in the application, mobile terminal, by sending the mode of request to server, obtains the electronic health record template file of the second form in real time. This, compared with in advance the electronic health record template file of each the second form being stored in mobile terminal this locality, has certain advantage. This is because, when electronic health record template style or content change, so the formula of mobile equipment must be modified and mate amended medical record templates form, owing to medical record templates form majority is different, if multiple medical record templates changes, then will to the medical record templates of all changes at mobile equipment, do formula coupling, very big workload can be caused, and, it has not been convenient to safeguard electronic medical record system.
It should be noted that each embodiment in this specification all adopts the mode gone forward one by one to describe, what each embodiment stressed is the difference with other embodiments, between each embodiment identical similar part mutually referring to. For device class embodiment, due to itself and embodiment of the method basic simlarity, so what describe is fairly simple, relevant part illustrates referring to the part of embodiment of the method.
Finally, it can further be stated that, in this article, the relational terms of such as first and second or the like is used merely to separate an entity or operation with another entity or operating space, and not necessarily requires or imply the relation that there is any this reality between these entities or operation or sequentially.And, term " includes ", " comprising " or its any other variant are intended to comprising of nonexcludability, so that include the process of a series of key element, method, article or equipment not only include those key elements, but also include other key elements being not expressly set out, or also include the key element intrinsic for this process, method, article or equipment. When there is no more restriction, statement " including ... " key element limited, it is not excluded that there is also other identical element in including the process of described key element, method, article or equipment.
Described above to the disclosed embodiments, makes those skilled in the art be capable of or uses the present invention. The multiple amendment of these embodiments be will be apparent from for a person skilled in the art, and generic principles defined herein can without departing from the spirit or scope of the present invention, realize in other embodiments. Therefore, the present invention is not intended to be limited to the embodiments shown herein, and is to fit to the widest scope consistent with principles disclosed herein and features of novelty.
The above is only the preferred embodiment of the present invention; it should be pointed out that, for those skilled in the art, under the premise without departing from the principles of the invention; can also making some improvements and modifications, these improvements and modifications also should be regarded as protection scope of the present invention.
Claims (10)
1. the method generating electronic health record, it is characterized in that, be applied to electronic medical record system, in the server of described electronic medical record system, storage has the electronic health record template of at least one the first form pre-build, the type of described electronic health record template is one or more, and the method includes:
Receiving the request obtaining electronic health record that mobile terminal sends, described request includes: the mark of electronic health record template type;
Obtain the electronic health record template file of second form corresponding to electronic health record template of the first form indicated with described mark;
The electronic health record template file of described second form is sent to described mobile terminal, the electronic health record template file of described second form is the electronic health record template that described mobile terminal carries out resolving and generating the second form, generates the basis of the electronic health record data of the second form after receiving the sufferer information that user inputs in the electronic health record template of described second form;
Receive and store the electronic health record data of the second form that described mobile terminal is uploaded;
Select the electronic health record template of first form corresponding with the type of the electronic health record template of described second form;
Undertaken the electronic health record data of described second form resolving the electronic health record data obtaining the first form;
The electronic health record data of described first form are filled in the electronic health record template of described first form, generate the first form electronic health record.
2. method according to claim 1, it is characterised in that the process of the electronic health record template file of second form corresponding to electronic health record template of the first form that described acquisition indicates with described mark is:
Search the electronic health record template of first form corresponding with the mark of described electronic health record template type;
Utilizing form to change, the electronic health record template generation for described first form is corresponding, the electronic health record template file of the second form.
3. method according to claim 1, it is characterised in that the process of the electronic health record template file of second form corresponding to electronic health record template of the first form that described acquisition indicates with described mark is:
The electronic health record template file of at least one the second form previously generated is searched the electronic health record template of second form corresponding with described mark.
4. method according to claim 1, it is characterised in that described second form is XML format.
5. method according to claim 4, it is characterised in that described XML format is the XML of the XML of CDR structure or element structure.
6. the method generating electronic health record, it is characterized in that, be applied to electronic medical record system, in the server of described electronic medical record system, storage has the electronic health record template of at least one the first form pre-build, the type of described electronic health record template is one or more, including:
Send the request obtaining electronic health record to server, described request includes: the mark of electronic health record template type;
Receive the electronic health record template file with the second form corresponding to the electronic health record template of the first form of described mark instruction that described server sends;
Resolve the electronic health record template file of described second form, generate the electronic health record template of the second form;
Receive the sufferer information that user inputs in the electronic health record template of described second form, generate the electronic health record data of the second form;
Upload the electronic health record data of described second form, the electronic health record data of described second form are that described server selects the first form electronic health record template corresponding with the type of the electronic health record template of described second form, undertaken the electronic health record data of described second form resolving the electronic health record data obtaining the first form, the electronic health record data of described first form are filled in described first form electronic health record template, generate the basis of the first form electronic health record.
7. the device generating electronic health record, it is characterised in that including:
Request reception unit, for receiving the request obtaining electronic health record that mobile terminal sends, described request includes: the mark of electronic health record template type;
File obtaining unit, for obtaining and the electronic health record template file of the second form corresponding to the electronic health record template of the first form of described mark instruction;
File transmitting element, for the electronic health record template file of described second form is sent to described mobile terminal, the electronic health record template file of described second form is the electronic health record template that described mobile terminal carries out resolving and generating the second form, generates the basis of the electronic health record data of the second form after receiving the sufferer information that user inputs in the electronic health record template of described second form;
Data receipt unit, for receiving and store the electronic health record data of the second form that described mobile terminal is uploaded;
Template selection unit, for selecting the first form electronic health record template corresponding with the type of the electronic health record template of described second form;
Data parsing unit, for being undertaken resolving the electronic health record data obtaining the first form by the electronic health record data of described second form;
Case history generates unit, for the electronic health record data of described first form being filled in described first form electronic health record template, generates the first form electronic health record.
8. the device generating electronic health record, it is characterised in that including:
Request transmitting unit, for sending the request obtaining electronic health record to server, described request includes: the mark of electronic health record template type;
File reception unit, for receiving the electronic health record template file with the second form corresponding to the electronic health record template of the first form of described mark instruction that described server sends;
Document analysis unit, for resolving the electronic health record template file of described second form, generates the electronic health record template of the second form;
Information receiving unit, for receiving the sufferer information that user inputs in the electronic health record template of described second form, generates the electronic health record data of the second form;
Uploading unit, for uploading the electronic health record data of described second form, the electronic health record data of described second form are that described server selects the first form electronic health record template corresponding with the type of the electronic health record template of described second form, undertaken the electronic health record data of described second form resolving the electronic health record data obtaining the first form, the electronic health record data of described first form are filled in described first form electronic health record template, generate the basis of the first form electronic health record.
9. a mobile terminal, it is characterised in that including: the device generating electronic health record as claimed in claim 8.
10. an electronic medical record system, it is characterised in that including: server, at least one mobile terminal being connected with described server, in described server, storage has the electronic health record template of at least one the first form pre-build, the type of described electronic health record template is one or more, wherein:
Described mobile terminal for sending the request obtaining electronic health record to server, and described request includes: the mark of electronic health record template type; Receive the electronic health record template file with the second form corresponding to the electronic health record template of the first form of described mark instruction that described server sends; Resolve the electronic health record template file of described second form, generate the electronic health record template of the second form; Receive the sufferer information that user inputs in the electronic health record template of described second form, generate the electronic health record data of the second form, upload the electronic health record data of described second form;
Described server, for receiving the request obtaining electronic health record that mobile terminal sends, obtains and the electronic health record template file of the second form corresponding to the described electronic health record template identifying the first corresponding form; The electronic health record template file of second form corresponding with described mark is sent to described mobile terminal, receives and store the electronic health record data of the second form that described mobile terminal is uploaded; Select the first form electronic health record template corresponding with the type of the electronic health record template of described second form; Undertaken the electronic health record data of described second form resolving the electronic health record data obtaining the first form; The electronic health record data of described first form are filled in described first form electronic health record template, generate the first form electronic health record.
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| CN201511018697.6A CN105678671A (en) | 2015-12-29 | 2015-12-29 | Method and apparatus for generation of electronic medical record, mobile terminal and electronic medical record system |
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| CN201511018697.6A CN105678671A (en) | 2015-12-29 | 2015-12-29 | Method and apparatus for generation of electronic medical record, mobile terminal and electronic medical record system |
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| CN114550863A (en) * | 2022-02-25 | 2022-05-27 | 首都医科大学附属北京安贞医院 | Medical record generation method, device, system, equipment and storage medium |
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Application publication date: 20160615 |