Creating Content Modules for Chinese EHR Documents and Their Trial Implementation in Wuwei City
Creating Content Modules for Chinese EHR Documents and Their Trial Implementation in Wuwei City
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中文电子病历文档内容模块创建及在武威市试点
DOI：
10.1007/s10916-012-9840-4
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发表时间：
2012-12-01
影响因子：
5.3
通讯作者：
Ye，Qing
中科院分区：
文献类型：
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作者：
Yang，Peng;Pan，Feng;Ye，Qing
我国目前使用的纸质健康档案文件数量众多、种类繁多，不仅各不相同，而且不符合国家规定。如果这些文档被结构化并以电子方式提供，则健康记录信息可以由计算机处理，以促进跨组织共享电子健康记录（EHR）。因此，这项工作的目的是开发一套内容模块，作为可重复使用的构建模块，用于将纸质健康记录转换为结构化的EHR文档。因此，本研究在国家规范文件的基础上，开发了77个内容模块，并在武威市进行了试点。根据武威EHR要求，我们在现有77个内容模块的基础上，新增了两个内容模块。然后，我们成功地建立了一个EHR系统的基础上，新的内容模块结合原有的内容模块。本文的研究成果有助于结构化中文电子健康档案文档的构建，并为电子健康档案系统的建设提供一定的参考。
Numerous and diverse paper-based health record documents are currently used in China, which are not only different from each other but are also inconsistent with national regulations. If these documents are made to be structured and electronically available, the health records information can be processed by computers to promote a shareable electronic health record (EHR) across organizations. As such, this work was intended to develop a set of content modules to be employed as reusable building blocks for converting the paper-based health records to structured EHR documents. Therefore, in this study, we developed 77 content modules based on the documents of national specifications and implemented them to Wuwei City as a trial. According to the EHR requirements of Wuwei, we added two new content modules in addition to the 77 existing content modules. We then successfully established an EHR system based on the new content modules in combination with the original content modules. This paper could contribute to the construction of structured Chinese EHR documents and provide some experiences as a reference for building EHR systems.