病历辅助管理系统的研发

Research and development of medical record assistant management system

目的:建立医院内部纸质病历管理的基础信息库,完善病历管理流程,提高工作效率。方法:使用C#编程语言进行开发,调用医院信息系统(hospital information system,HIS)、电子病历系统(electronic medical record system,EMRS)数据库Oracle 10g中的基础信息,并将整个流程中产生的相关信息存入SQL 2005数据库中,最后根据病案要求进行统计分析并对相关医师发出预警信息。结果:该系统实现了纸质病历归档流程的规范、电子病历和病案首页的同步归档、病历借阅的规范管理、各种统计分析报表的自动生成、发现超标信息自动报警等多种功能,为病案管理员提供了便捷、高效的管理平台。结论:该系统的实施为改变病案室的工作效率和管理模式开辟了新思路,具有实际应用价值。

Objective To establish a basic information database of hospital medical records management and improve the management process.Methods The system was developed with C#programming language,basic information from Oracle 10g databases of HIS and electronic medical record system（EMRS）,which stored corresponding information during the process into SQL 2005 database and generated early warning information based on statistical analysis on medical records.Results The system realized standardized filing of medical records,synchronized filing of electronic medical record and the first page of medical record,normalized lending of medical record,auto generation of statistical reports,auto alarming in case of standard-exceeded information and etc,which could be used as a platform for medical record management.Conclusion The system enhances the efficiency and management of medical record section,and thus is worthy promoting practically.