Design And Implementation Of Structured Electronic Medical Record And Quality Control

In recent years, with the continuous deepening and development of the digital construction in hospital, the hospital information system (HIS), has begun to gradually shift from financial management to patient-oriented and medical information-based. Therefore, the electronic medical record system has got great concerned by the hospital and experts in this area.The concept of electronic medical record is the evolution from traditional medical records, which refers to the diagnosis and treatment of patients in the hospital, including the main page, progress records, test results, surgical records,, nursing records, etc. When it comes to EMR, many people will think it is the electronic medical record. It is also described as the electronic medical record computer-based patient record. But these understandings are too one-sided. U.S. National Institute for Medical Research’s definition for EMR is a particular system based on electronic patient’s records, which provides complete and accurate data to reflect the patient’s entire medical procedure, with alerts, tips, and clinical decision support capabilities.By using the electronic record project of Shanghai Pu dong New Area Gong Li Hospital as the example, this article is mainly about the design and achieve of the project. The article introduces the architecture, model, method of design and key technology of the system. By using the structured data of electronic records, it can help the clinics to set up the standards, its usages could be alert both previously and during progress, it can also be the controller, monitor and screening afterwards. It’s a very helpful tool for the doctor during the process of the project.The article analyzed the situation of the electronic records overseas and locally, the proofed the importance of medical quality control in the hospital management. It tells the current needs and questions of hospital. The system is introduced from XML, DHTML, based on.net, SOA method and idea. Also using the HL7, DICOM as reference. The article is mainly about the content of the system, proof at the clinics. Finally, a review is made upon the research and conclusion.