Design And Implementation Of Structured Electronic Medical Record System

With the development of hospital information system,hospital management,clinical,medical imaging and other systems widely implemented,it is important work to promote hospital information based on electronic medical record.Electronic medical record is fundamental to optimize service processes,to improve the efficiency and quality of medical service,and to realize the information sharing of the regional medical collaborative service.The aim of this dissertation is to design and implement structured electronic medical record system based on C++,the electronic medical records system is expected to help doctors input medical information efficiently and conveniently,to improve quality and efficiency of clinical work,to improve medical quality management and support clinical decision making,and to support medical research and statistical analysis for hospitals for data mining.This dissertation analyses the domestic and overseas research status of electronic medical records system,compares the advantages and disadvantages of a variety of electronic medical record system,designs structured electronic medical record to solve the non-structured data problem of current electronic medical record system.This dissertation analyses business requirements and characteristics of structured electronic medical record system,and introduces the functional requirements of the system.The structured electronic medical record system mainly includes following functions:making structured templates,writing structured medical records,quality controlling of medical records and data query sharing.The system improves the efficiency of electronic medical record writing,meets requirements of medical record quality control and data analysis.In the process of system development,the medical record system is structured gradually,based on waterfall model in software engineering,In the process of implementation,it contains specific business requirements,functional requirements,non-functional requirements,system architecture design,and database design.Then the system is tested,with test results outputs.Based on design and development of this dissertation,the structured electronic medical records system is based on C++,and now it is implemented and go-live.Feedback from users says the system is user friendly,strong standardization and high reliability.The system helps users input electronic medical record efficiently and conveniently,improves medical quality control and data sharing analysis.