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Development of a general information system for dental and oral disease targeting electronic medical record.

开发针对电子病历的牙科和口腔疾病通用信息系统。

基本信息

批准号：
14370663
负责人：
SUZUKI Ichiro
金额：
$ 8.45万
依托单位：
Niigata University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
2002
资助国家：
日本
起止时间：
2002 至 2004
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-14370663/
关键词：
electric health record health insurance hospital information system insurance claim system ICD-DA MEDIS-DC XML レセコン ICD10 標準病名 MEDIS 電子カルテ3要件 ICD-10

项目摘要

A major breakthrough in medical field has been progressed including information technology and standardization of medical term and data exchange protocol. However, its development has been more slowly in dental field than in common medical field. From such a background, we had been tried to examine the method of digitization and standardization of dental region, and to construct total information system trying for electric health record (EHR) of dental hospital and/or clinic for the purpose of providing advanced and efficient dental health care services.Summary of the research and the results were as follows.1) For the EHR platform named "DEXR", ready-made dental insurance claim system for personal clinic had been introduced in our hospital for the purpose of training for accurate and efficient description of clinical record.2) The DEXP was improved by adding rich-text editor for SOAP description and image filing viewer. The improved DEXP has satisfied for general dental clinic use as … More EHR.3) The improved DEXP was connected to hospital information system, imported patient's data from ordering database and exported disease and treatment data to hospital claim system.4) Among three requirements for EHR in Japan (authenticity, readability and availability), authenticity was achieved to encoding daily backup data by electric signature.5) EHR based on dental insurance claim system may be reasonable and agreeable method for developing dental EHR system.6) Standard dental disease master corresponding to the ICD-DA and standard dental treatment master have been worked out at MEDIS-DC. Unfortunately, formal version was not released in the research period, so that we could not adopt the standard master to our EHR system.7) As to data exchange between different dental EHR or hospital information system, we have tried to use XML schema as lower class of data exchange format. It must be standardized medical term and upper class of data exchange format (e.g. HL7, DICOM or MERIT-9). Less

医学领域取得了重大突破，包括信息技术、医学术语和数据交换协议的标准化。然而，其在口腔医学领域的发展相对于普通医学领域要慢得多。在此背景下，本课题研究了牙区数字化和标准化的方法，并尝试构建口腔医院和/或诊所的电子健康记录（EHR）的整体信息系统，以提供先进、高效的口腔医疗服务。2）对DEXP系统进行改进，增加SOAP描述的富文本编辑器和图像归档查看器。改进后的DEXP可满足一般牙科临床使用， ...更多信息 3）改进后的DEXP与医院信息系统连接，从医嘱数据库中导入患者数据，将疾病和治疗数据导出到医院索赔系统（真实性、可读性和可用性），通过电子签名对日常备份数据进行编码，实现了数据的真实性。基于牙科保险索赔系统的电子病历是开发牙科电子病历系统的合理可行的方法。6）在MEDIS-DC制定了与ICD-DA相对应的标准牙科疾病主表和标准牙科治疗主表。遗憾的是，由于在研究期间没有正式的版本发布，我们无法将标准的master应用到我们的EHR系统中。7）对于不同的牙科EHR或医院信息系统之间的数据交换，我们尝试使用XML schema作为数据交换格式的低级类。它必须是标准化的医学术语和数据交换格式的上层（例如HL 7、DICOM或MERIT-9）。少