Development of clinical support system using electrical medical record systems by intrahospital Local Area Network

1. 电气病案网络建设我们去年建设了10BASE-T电缆使用的电气病案网络。今年，我们连接了医疗信息部分2的数据库服务器。电子病历网络操作系统采用Windows NT4.0作为网络操作系统，安装在电子病历数据库服务器上。因此，我们可以使用Windows和Macintosh系统作为客户端机器。与医院其他网络的连接及其效果1)与医疗信息部数据库服务器的连接我们可以使用数据库服务器的实验室数据，通过他们的阅读计算机软件微软access基本医护人员可以访问数据库服务器的电子病历在ICUSo他们可以了解ICU病人的情况3)连接数据库服务器的CT和MR图像和他们的发现在放射科我们可以访问数据库服务器在放射科4)与其他临床科室和手术室的计算机有更多的联系，我们可以使用准备好的模板预约手术和术后ICU住院时间。电子病历软件的改进1)各种疾病模板的制作2)输入方式的改进：治疗和实验室数据的输入辅助系统包括Microsoft word3)病历软件使用Microsoft visual Basic5制作菜单功能。福利设施病案开发项目的目的是实现患者病历的共享和病案的规范化。在重症监护室等中心临床科室，团队医疗非常重要，共享患者临床信息比在其他科室更有益。由于本研究建立的病案系统对从事ICU患者治疗的医生、护士和辅助医务人员都是免费开放的，因此该系统使ICU工作人员能够1)轻松地在团队成员之间共享患者数据，2)广泛地告知治疗方案，3)在医生和非医生成员之间产生亲密的沟通，从而4)使团队医疗更有效。此外，通过该病案系统，使病历的规范化成为可能，病历记录的改进也变得更加容易。采用带模板的图表记录方式，对住院医师进行临床教育也更加有效。在行政工作方面，这款电子病历系统可以用于书写医疗证明、会诊患者数据档案和健康保险收据。综上所述，电子病历记录对于ICU等中心科室的临床活动是一种有用的支持系统，许多医生都参与了患者的治疗。少

1. Construction of network for electrical medical recordsWe constructed network for electrical medical records used by 10BASE-T cable last year.This year we connected Data Base server at medical information section2. Network operating system for electrical medical recordsWe used Windows NT4.0 as network OS and installed at Data base serve for electrical medical records.So we can use either Windows & Macintosh system as Client machine3. Connection to other networks in hospital and its efficacy1) Connection to Data Base server at medical information sectionWe can use Data Base server for laboratory data by their reading computer soft made by Microsoft access basic Paramedical stuff can access Data Base server for electrical medical records at ICUSo they can realize the condition of ICU patients3) Connection to DB server for CT and MR images and their findings at radiological sectionWe can access Data Base server at radiological section for CT and MR images and read their findings4) Conne … More ction to other clinical sections' computer and operating room's computerWe can make reservation for operation and postoperative ICU stay using by prepared template4. Improvement of electrical medical record soft1) Preparation of template for various kinds of disease2) Improvement of Input style :therapy & laboratory data by input assistant system included Microsoft word3) Medical record softWe made menu function used by Microsoft visual Basic5. Conclusion and meaning of this researchThe aim of the medical record development project of Welfare Facilities is to share patient's history and to standardize medical record. In central clinical sections such as an intensive care unit, where the team medical treatment is so important, sharing patient's clinical information is more beneficial than in other sections.Since the medical record system established in this study is freely accessible from physicians, nurses, and paramedical staff who are engated in treatment of ICU patients, the system enables the ICU staff 1) to easily share patients' data among team members, 2) to broadly inform treatment plans, 3) to produce an intimate communication between physician and non-physician members, and thus 4) to make the team medical treatment more effective.Furthermore, by this medical record system, the standardization of medical chart becomes possible, and the improvement of chart recording becomes easier. Clinical education of residents also becomes more effective by using chart recording with template.For the administrative work, this electrical medical record system is useful in writing medical certificates, patients' data file for consultation, and health insurance receipts.In conclusion, electronic chart recording is a useful support system for clinical activities in central sections such as ICU,where many physicians are involved in treatment of patients. Less