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外挂式辅助系统在住院病案首页管理工作中的应用

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住院病案首页数据是医疗、科研、医保付费的重要信息来源,现有住院病案首页管理系统孤岛现状导致了录入住院病案首页时查阅病案资料繁琐、效率低、质量难以保证等问题.针对实际工作中的具体问题,以进程注入、系统挂钩和数据中台等技术为基础研发了住院病案首页录入辅助系统,打破了与医院业务系统间的信息壁垒,实现对关键操作的跨进程感知与响应,自动整合业务系统中的患者信息加以呈现,以及根据工作人员的选择自动完成住院病案首页数据项的填入或对录入内容进行质控.随着住院病案首页录入辅助系统的应用,建立起了住院病案首页管理系统与医院各业务系统之间的桥梁,帮助工作人员能够全局地把握患者信息、简化录入操作,提升住院病案首页录入工作.
Application of External Auxiliary System in the Management of Inpatient Medical Records Front Page
The data on the front page of hospital medical records is an important source of information for medical treatment,scientific research,and medical insurance payment.However,the current status of the existing medical record home management system is isolated,which leads to the problems of cumbersome,low efficiency and difficult quality assurance when entering the front page of medical records.Aiming at specific problems in actual work,an inpatient medical record front page entry auxiliary system based on process injection,system hooking and data middle platform technologies was developed,which broke the information barrier between the hospital business system,realized the perception and response of key operations,automatically integrated the patient information in the business system to present,and automatically completed the entry of the data items on the front page of the medical record or the quality control of the input content according to the selection of the staff.With the application of the medical record home entry assistance system,a bridge between the inpatient home page management system and the hospital's business systems has been established,so that the staff can grasp the patient information globally,simplify the entry operation,and improve the home page entry of the medical record.

Impatient medical records front pageAuxiliary systemHookProcess injection

李阳、朱娜斐

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北京工业大学信息学部,北京市,100124

住院病案首页 辅助系统 挂钩 进程注入

2024

中国病案
中国医院协会

中国病案

CSTPCD
影响因子:1.197
ISSN:1672-2566
年,卷(期):2024.25(9)