What is the current state of electronic medical record applications? What is an electronic medical r

Over the past 20 years, some large hospitals in Europe and the United States have begun to establish hospital information systems (HIS) within hospitals, and electronic medical records have been studied and applied to a considerable extent in the United States, the United Kingdom, the Netherlands, Japan, Hong Kong and other regions. The United States has been vigorously promoting and popularizing the application of EMR, Indiana University Medical Branch uses EMR** mortality rate in early cancer patients, and the Boston EMR Association is studying the transmission of EMR for emergency patients over the Internet. In the UK, EMR's IC card has been used for pregnant women's pregnancy information, labor enlightenment and follow-up observation.

The Patient Card of the Hong Kong Hospital Authority records the patient's complete medical journey, including doctor's examination, test results, X-rays, CT tablets, MTI tablets and prescriptions. At the same time, these countries and regions have set up special research institutions to study EMR as a key topic and organize medical units to implement and popularize it.

After nearly 20 years of development, China's hospital information system has begun to take shape, and many hospitals have established hospital-wide information systems, represented by Dalian Huiyuan electronic system engineering Huiyuan hospital management information system, which has laid a solid foundation for the research and application of electronic medical records in China. The Golden Health Card supervised by the Ministry of Health will be launched to the whole society, which can save the cardholder's lifelong health care information, and the cardholder can directly connect with banks, medical insurance centers and insurance institutions through the computer network, making medical activities simple, convenient and fast. The PLA General Hospital has carried out research and application of EMR.

This is just the beginning of EMR research and application, and the relevant research content will be deepened with the development of EMR.

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EMR: English is electronicmedicalrecord, Chinese is electronic medical record system, the use of electronic computer to preserve, manage, transmit and reproduce the digitized patient's medical records, on this basis, fully consider the confidentiality of patient information, improve medical quality and treatment efficiency and other service functions of the computer information system. In order to solve the shortcomings of the paper medical record era, electronic medical records have been created to replace handwritten paper medical records, which can be simply understood as digitized medical records that are saved, managed, transmitted, and reproduced by electronic devices (computers, networks).

The content of an electronic medical record likewise includes all the information in a paper medical record.

With the application of electronic medical records, the work efficiency of hospital doctors has been improved and some writing troubles have been reduced. The electronic medical record has the following functions:

1) Simplicity: The electronic medical record is uploaded to the cloud, which can be conveniently viewed in different departments and hospitals, and there is no need to go to the original attending doctor and outpatient department to stamp and copy, which is convenient for patients and hospitals, and avoids the risk of confusion in medical records.

2) Environmental protection: Electronic medical records have the characteristics of comprehensiveness and permanence, and do not need to spend paper to lay down statements, nor do they need to spend time, energy and money to protect paper medical records from insects and other damages.

3) Speed: Medical staff or leaders can view the patient's medical record by looking at the patient database data, which greatly facilitates the work, reduces the workload, and no longer has to be entangled by a large number of paper medical records. The following is recommended for you to use small and medium-sized medical institutions to efficiently do electronic medical record management diagnosis and treatment system--- Xinjiukang diagnosis and treatment management system.

About FIBO Technology.

The predecessor of Wuhan Feibo Technology Co., Ltd. originated from the joint cooperation project of Huazhong University of Science and Technology, which was jointly initiated by the founder Zhang Kaifang and professors of Huazhong University of Science and Technology in 1998. The company was formally established in 2005 to provide professional medical and health information system design, construction and operation and maintenance services for large hospitals, and has accumulated 23 years in the industry.

At present, Wuhan Feibo Technology is a high-tech enterprise with a low-speed and rapid development of open source platform with disruptive innovation. It has been deeply involved in the smart medical information industry for more than 20 years! Committed to building a software smart factory in the era of tool intelligence, with BS architecture, cloud platform, Internet of Things, and big data as the underlying algorithms, subverting the customer participation model, delivery mode and follow-up development mode, through unique technical paths such as "element common refinement, core technology packaging, and one-click generation of key elements", the overall development speed, customer response timeliness, and application experience happiness have been improved many times, so as to create information value and cost value for customers!

FIBO electronic medical records.

Legal analysis: Electronic medical records refer to medical records that can be stored, managed, transmitted and reproduced by medical records using text, symbols, charts, graphics, numbers, images and other digital information generated by information systems in the process of medical activities, and are a form of medical records, including outpatient (emergency) medical records and inpatient medical records. Electronic medical records have the same effect as paper medical records.

Legal basis: "Electronic Medical Record Application Management Specification (Trial)" Article 3 Electronic medical record refers to the medical record that medical personnel use the text, symbols, charts, graphics, numbers, images and other digital information generated by the information system in the process of medical activities, and can be stored, managed, transmitted and reproduced, and is a form of medical record, including outpatient (emergency) medical records and inpatient medical records.

Provisions on the Management of Medical Records of Medical Institutions》 Article 4 According to the different forms of medical records, they can be divided into paper medical records and electronic medical records. Electronic medical records have the same effect as paper medical records.

Electronic medical records refer to the use of digital technology to record, store, and manage a patient's medical information. Traditional medical records are usually in paper form, while electronic medical records save medical record data in the form of electronic files in the computer system, realizing the digitization and sharing of medical record information.

The advantages of implementing electronic medical record management include:

Improve productivity: Electronic medical records enable fast and accurate access to and retrieval of medical record data, improving the productivity of physicians and healthcare professionals.

Information sharing and collaboration: Electronic medical records can realize information sharing and collaboration between multiple departments and hospitals through the network, which is convenient for doctors to conduct remote consultation and collaboration.

Reduce errors and duplication: Digitization of electronic medical records can reduce the problem of handwriting errors and duplicate records, improving data accuracy and consistency.

Provide perfect data support: electronic medical records can provide comprehensive and accurate data support for clinical decision-making, and help doctors formulate more scientific plans.

Save space and resources: Electronic medical records do not require a large amount of paper and physical space storage, saving space resources and reducing operating costs.

Electronic medical record (EMR) is also called a computerized medical record system or computer-based patient record (CPR).

It is a digital medical record that is kept, managed, transmitted, and reproduced by electronic devices (computers, health cards, etc.) to replace handwritten paper medical records. Its content includes all the information of the paper medical record. The National Institute of Medicine will define it as:

EMR is an electronic patient record based on a specific system that provides users with access to complete and accurate data, alerts, prompts, and clinical decision support systems.

An electronic medical record is an electronic version of a patient's paper record. While the EHR does contain a patient's medical and ** history.

1.Rich medical record templates, including those commonly used by people's hospitals, traditional Chinese medicine hospitals, women's and children's hospitals, orthopedic hospitals, psychiatric hospitals, etc.

2.Provide specialized medical-specific words and phrases. Supports medical records, including medical vector graphics, medical expressions, and more.

3.Support continuous, repetitive, and page-numbered printing of disease history records and nursing records. Support trace preservation, retain traces of modifications at all levels of doctors. Support the entry and printing of three test sheets.

4.Powerful processing functions, support nesting, merging cells, splitting cells, deleting rows and columns, adding rows and columns, inserting elements inside, adjusting width, etc.

5.Keyword prohibitions are supported (e.g., keywords such as "chief complaint, present medical history, family history, general examination, specialist examination").

6.It supports seamless docking with HIS, PACS, LIS, RIS and other systems. information, etc., so that doctors can use it at any time. It makes medical staff more intuitive and comprehensive when reading, borrowing and learning medical records, and ensures the integrity of medical information.

Electronic medical records refer to the medical records generated by medical personnel in the process of medical activities using information systems such as words, symbols, charts, graphics, numbers, images, etc., and can be stored, managed, transmitted and reproduced, and are a form of medical records, including outpatient (emergency) medical records and inpatient medical records. Electronic medical records have the same effect as paper medical records.

01High functional applicability.

The functions cover drug purchase, sale and inventory management, prescription automatic pricing, electronic medical record management, daily income and expenditure statistics and data printing, etc., and have complete and comprehensive reports, as well as associated traceability functions, which are good to achieve the practical criteria of no stacking of functions.

02Strong ease of operation.

This is emphasized in the product design concept, striving for simplicity of operation and easy use for people who are not computer savvy.

03Good service system.

Software is a service, and buying software is buying a service. When choosing clinic management software, in addition to examining the functional operation of the software, the after-sales service of the clinic management software provider is also an important reference point.

04Software flexibility.

Also pay attention to the flexibility and scalability of clinic management software; The society is progressing, the enterprise should develop, the simple clinic management software may be less and less able to meet the needs of users, small and medium-sized outpatient clinics should be forward-looking when choosing simple clinic management software, consider the future development; Whether it can keep pace with the times, the design of good clinic management software will take into account the scalability of clinic management software in the future.

In terms of the information construction of the clinic, the Xinjiukang diagnosis and treatment system has played an excellent demonstration role. It covers basic functions such as outpatient management, examination project management, charging and drug management, drug management, etc., and can also support mobile payment, membership management and other operational functions.

At present, according to the development needs of primary medical institutions, Xinjiukang strives to build a clinic management platform for primary medical operations, improve the universal applicability and service level of Xinjiukang diagnosis and treatment system, and continuously broaden the development path for grassroots clinics.