Study On Clinical Electronic Medical Records Quality Management System Architecture Design

In response to the popularity of electronic medical records caused by the declining quality of medical records, medical records manual inspection workload surge, more difficult problems such as hospital quality control management, intended to design a suitable for clinical quality management electronic medical records software architecture design at this stage, for the further development of the system and provide a theoretical construction of reference information and recommendations.Includes four main areas of study:The first aspect is the preface, which first introduced this topic is made based on, followed by detailed medical history, definition, use of electronic medical records, as well as what are clinical electronic medical record quality management systems, design of its purpose and meaning. Foreword to the third part focuses on the research status of the system at home and abroad. Study abroad earlier electronic medical records, was founded in the last century, 80 years, but advancing slowly, solid foundation, particularly in the United States as the main representative, Japan and various European countries followed suit, have made some achievements, and development aimed at enhancing the quality of the electronic medical record system was started to rise in recent years, is a more advanced research topics. Electronic medical records in China began in 2000 years or so, after more than 10 years of development, after three generations, has been close to the level of overseas development, but due to the rapid development, in some ways, it is inevitable that lacks, especially the quality of medical records management. In recent years, major hospitals and HIS firms are developing electronic medical record quality management in software, but are at the initial stage, the whole process of real-time monitor is the next step, the entire process, the main directions of research of the software. Fourth preamble part describes software architecture design method for further reliability provides a method for designing the software architecture to support it.The second aspect is the design of the system architecture of quality management of clinical electronic medical records, first of all from the system design background, explained the reasons for the research and design of the system and the external environment. Secondly, introduces the clinical quality of medical record management system design characteristics and requirements, and the design of the control structure of the medical quality of electronic medical record network. Third using the method of software architecture design, through the investigation on the user’s specific needs, have the function of the software, to lay the foundation for the next step in the design of software architecture. Fourth based on the needs analysis, and the role of different users and different functions of domain modeling, determine the key demand, so as to build the conceptual structure design, and then from the angle of design functional requirements of clinical electronic medical record quality management system logic structure diagram. The fifth introduces the construction quality control of medical records defect library evaluation criteria and design the whole process of dynamic control process, this part is the core technology of this paper. Finally, starting from the user level, divided into four categories of user(Administrator user, QC users, Department Director user, clinician), analysis required functions for each type of user, and refinement, and timely communication with all types of users and experts, ensuring that each functional module in line with medical processes and meet the user habits. Modules of study consists of the following areas: ①service modules, mainly contains notice and message platform functionality. ②the learning resources module, mainly consists of a number of rules and regulations, treatment protocols, classic records and flawed study. ③statistical query module, consists of some defect statistics, defect reports, record defects, and so on. ④TODO module, which contains the latest bulletin-, unread messages, operation records and so on. ⑤users change passwords module, main password changes for users on their own history. ⑥system settings module, including medical records quality control testing standard defect database maintenance, features such as parameter settings.The third aspect is the clinical study on evaluation of medical record quality management system architecture design, structure design evaluation system for the system, clear evaluation, evaluation, evaluation methodologies and evaluation procedures. On this basis, and visits to relevant users and experts, and by way of questionnaires, to evaluate the design and final results based on feedback from experts and users, and using statistical analysis method of delineation of the project rating criteria, the analysis of data obtained, concluded expert evaluation results of this software.Fourth dimension is on the study of this topic discusses software architecture design and comparative analysis of the traditional model of medical record quality control features and advanced electronic medical record quality control mode of monitoring software features, which confirmed the necessity of implementing electronic medical records quality control and, finally, details described the content of the schema is designed to achieve.Using professional software architecture design methods. First of all, through field research and a large number of data, clear the objects and principles of software design. Second, view the adoption law, taken from different angles of view for architecture description. Thirdly, the transition to the actual schema conceptual schema. Finally, clear framework key elements and strategies. Finally, clear design of software architecture needed to reach levels.Based on these five as the premise, the first step to do a needs analysis, figure out the software’s functional requirements and non-functional requirements, non-functional requirements, including quality attributes and constraints. Step two done modeling work, focusing on analysis of problem areas themselves, explore important business concepts and establish business relationships between concepts in the field. The third step, determine the critical requirements. Key requirements include key functional requirements, quality attribute requirements and business needs. The fourth step, the conceptual schema design. By using robust method, to form a preliminary design model to the responsibilities. Introducing architectural design patterns, and finally mass property analysis. The fifth step, detailed schema designs. Main methods for structure refinement based on five views. The sixth step, implement and validate schema design. Through expert interviews, discussions, and surveys, and other forms to solicit expert opinion, there may be a problem, as well as suggestions, based on expert knowledge and experience, judgment, evaluation, revision, selection of the optimal software architecture design. Finally, using statistical analysis and to establish a framework, degree validation schema support for quality properties.Through in-depth research of electronic medical records system, identify the main factors affecting the quality of medical records, using the current computer technology, come up with a set of software architecture design program to help improve the quality of CPR. The clinical records quality management system schema design program after expert and the user of consistent argument, basic meet software design of requirements, part achieved currently run records of real-time, and full monitoring envisaged, extended monitoring surface, can effective improve mass controlled efficiency, especially on common of three level seized diagnosis implementation enough, and less wrote, and leak wrote and not timely writing records, problem can from essentially corrected. However, due to the limitations of current information technology, can enable automated quality control projects limited, similar, such as medical records, case consistency, at present by way of computer quality control is difficult to achieve, is not fully automatic quality control of Omni-directional goals. In addition, the clinical medical record quality monitor system architecture design has been recognized by the majority of experts and experienced users, but the effect also need depend on the next phase of software development, in-depth argument by user.Through experts in the field of the hospital information and the user’s critical appraisal, evaluation results show that the clinical medical record quality monitor system architecture design basically meet the needs of medical record quality control, which will improve the quality of electronic medical records fall, and strengthen the supervision of the quality of medical records, increase productivity, improve the quality of medical records and prevent medical risks are important. Meanwhile, for the next phase of software development, and provides an important reference, can effective reduce software development time.