患者主索引数据在数字化病案管理系统的建立及利用

The Build and Application of Patient Master Index Data in Digitalization Medical Record Management System

目的利用病案数字化管理系统,采用患者姓名索引内容,建立准确的患者主索引信息数据库。方法利用病案数字化管理系统软件,通过住院数据程序,将无法从医院HIS系统提取的历史住院患者索引信息,对照数字化病案首页及相关的信息进行录入。结果将60余万条历史住院患者姓名索引录入到病案数字化系统中,实现患者索引信息的计算机化管理。结论姓名索引构成的数据库的建立,为患者、医务人员再次住院提供了快捷的姓名索引的查询功能。为病案复印提供了极大的信息支持,优化了病案复印的服务流程,提高了病案的管理和服务质量。

Objective through applying digitalization medical record management system,using patients＇ name to index and set up correct information database of patient master index.Methods through the program of hospitalization data in software of digitalization medical record management system,to input data according to front sheet of digitalization medical record and relevant information when them can not pick up from HIS system.Results 0.6 million hospitalization patients＇ name index have been input to digitalization medical record system that achieve computerized management of patient index information.Conclusions The database of name index can provide inquiry function of convenient name index for readmission of patient and medical staffs.It not only provides huge information support for duplication but also optimizes the service process,which improve management and service quality of medical record.