| Electronic medical record (EMR) is the foundation and core of hospitalinformation system, is a key link of medical informatization. However, the currentdomestic also lack the authority determined to meet the hospital standardization,digitization, information sharing system, the electronic medical record managementand standardized popularization brought greater difficulty. At the same time, theelectronic medical record quality problems emerge in an endless stream, managementis not standardized, safe hidden trouble is much, between hospital electronic medicalrecord data norms, how to improve the quality control of electronic medical recordlevels become a certain technology challenging research topic.The research comes from some listed medical technology limited the researchproject, an in depth analysis of the electronic medical record and its quality controlmethod on the basis of a hospital in Hunan, combined with the implementation ofelectronic medical record system application case, introduced in detail the electronicmedical record quality control module design and implementation process.This paper introduces the quality control of electronic medical record in themedical quality management importance, analyzes the domestic and foreign medicalinformation development form, focus on the HL7data exchange standards, clinical datacenter, electronic medical record quality control method based on event container,electronic medical record time control algorithm, based on events in electronic medicalrecord quality control process and the container control module in the application ofelectronic medical record system to spread out thorough analysis.First, in view of the current electronic medical record defect in-depth analyzes.According to the characteristics of electronic medical record information, in strictaccordance with medical record writing standard of the Ministry of health, designed inaccordance with electronic medical record writing standard of quality control methodsinclude: electronic medical record timing control method, content quality controlmethod and electronic medical record scoring scheme.Secondly, according to the electronic medical record timing control method,introduced in line with medical record writing standard of an event based containerelectronic medical record timing control algorithm, this algorithm can realize theautomatic identification of medical process in different condition, different stages, avariety of data between the complex electronic medical record time relationship, sothat the doctor can quickly complete information, and give the doctor tips and guidelines, support for hospitals to strengthen the medical quality management,medical defect, thus to improve the medical quality. At the same time, can also beadvance reminding, supervise in the thing, after the examination, the quality control ofelectronic medical record to a hitherto unknown effect.Finally, Through the application of event based electronic medical record qualitycontrol module container, effectively improving the health care workers medicalhistory writing efficiency and quality, at the same time in support of the hospitalmanagement of electronic medical record quality tracking, statistics and analysis, forthe electronic medical record sharing and teaching research and other high levelapplication provides basic data support. At present, in the hospital system has beensuccessful on-line operation, good operation system. |