以电子病历为核心的医院信息化建设-ChineseMedicalJournal.docVIP

PAGE 1 A study on the model of “taking electronic medical records as the core for information construction in hospital” WU Tao，XU Ke，LI Ping，LI Xian-feng and XU Wei-guo Xinhua Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China(Wu T,Xu K,Li P,Li XF and Xu WG) Correspondence to: Dr.XU Wei-guo, Xinhua Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China(Tel:86-21Email: xuweiguo@) WU Tao and XU Ke contributed equally to this work. This Study supported by a grant from 2011 research projects of Shanghai Municipal Health Bureau (No. Keywords: electronic medical record; hospital; information construction Background This paper has discussed on new model of taking electronic medical record（EMR） as the core for information construction in health care in Xinhua hospital and has expounded the true essence of EMR and the structured EMR framework model. Methods The paper emphatically introduced the new functionalities of this kind of EMR, such as closed-loop management for medical process and medical orders, clinical decision support, controlled medical terminology. This paper study the concepts and features of EMR system, and summery the experience in Xinhua hospital. Results EMR system can be integrated into the original systems seamlessly. It not only supports the existing clinical workflow smoothly, but also proposes brand new medical concepts like close-loop management, clinical pathway and CMV etc. EMR system information construction will improve and optimize the existing medical workflow efficiently. Conclusions “Taking electronic medical record as the core for information construction in health care follows the Ministry of Health “EMR System functional application-oriented classification of evaluation methods and standards (Trial)”. It lights the way for creating new EMR system in China. In conclusion, it shared the experience of implementation. The development of hospital Informa