CN107545929A - A kind of Templated patient in hospital hemodialysis information recording method - Google Patents
A kind of Templated patient in hospital hemodialysis information recording method Download PDFInfo
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- CN107545929A CN107545929A CN201610485781.7A CN201610485781A CN107545929A CN 107545929 A CN107545929 A CN 107545929A CN 201610485781 A CN201610485781 A CN 201610485781A CN 107545929 A CN107545929 A CN 107545929A
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- hemodialysis
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Abstract
The present invention relates to a kind of Templated patient in hospital hemodialysis information recording method, to during hemodialysis treatment medical personnel use the doctor's advice and course of disease information of template record patient, comprise the following steps:1) confirm and select multiple record cases that record content is roughly the same during hemodialysis treatment and the input frequency is higher;2) different types of patient information input template corresponding with record case is established, and the content tab for needing to fill in and input text box are set in patient information input template;3) patient information input template corresponding to the drop-down menu selection at the inputting interface of electronic system;4) corresponding content is entered into text box in patient information input template according to the hemodialysis situation of patient, preserves simultaneously typing electronic system.Compared with prior art, the present invention has the advantages that templating, high efficiency, information is comprehensive, avoids omitting.
Description
Technical field
The present invention relates to a kind of medical information recording method, more particularly, to a kind of Templated patient in hospital hemodialysis information
Recording method.
Background technology
Medical personnel are frequently necessary to record the doctor's advice or progress note of patient, common practice during hemodialysis treatment
It is:
Medical personnel input fixed several indexs according to its clinical experience, and make comments and instructions points for attention, if medical personnel
Clinical experience deficiency, then need to check former doctor's advice or progress note.
Although existing hospital electronic system is able to record doctor's advice or progress note, but more when be to rely on oneself
Experience or standard study, have unavoidably omission part.In this case it is necessary to input of the medical personnel in hospital electronic system
Manual typing information in interface text, because the content format and substantial amounts of standard index of doctor's advice or the course of disease are substantially identical
, in face of a large amount of state of an illness identical patients, the information complex operation of each patient of typing is uninteresting successively, and efficiency is low.
The content of the invention
It is an object of the present invention to overcome the above-mentioned drawbacks of the prior art and provide a kind of templating, efficiently
Rate, information comprehensively, avoid omit Templated patient in hospital hemodialysis information recording method.
The purpose of the present invention can be achieved through the following technical solutions:
A kind of Templated patient in hospital hemodialysis information recording method, to during hemodialysis treatment medical personnel use
The doctor's advice and course of disease information of template record patient, comprises the following steps:
1) confirm and select multiple records that record content is roughly the same during hemodialysis treatment and the input frequency is higher
Situation;
2) different types of patient information input template corresponding with record case is established respectively according to record case, to every kind of
The patient information input template name of type, and set in patient information input template need the content tab filled in and
Input text box corresponding to label, while provide to input the format write of text box;
3) when needing to carry out electronic system record to patient's hemodialysis treatment information, at the inputting interface of electronic system
Patient information input template corresponding to drop-down menu selection;
4) corresponding content is entered into text box in patient information input template according to the hemodialysis situation of patient, protected
Deposit simultaneously typing electronic system.
In described step 1), the record case that record content is roughly the same and the input frequency is higher includes doctor's advice, the course of disease
Record and phase treatment are summarized.
In described step 3), the typonym of patient information input template is shown at inputting interface according to ascending sort
Drop-down menu in.
In described step 4), the content of patient information input template is filled into the defeated of electronic system by change events
Enter in interface.
The content tab for needing to fill in described patient information input template includes physiochemical indice and annotation item.
Customized information input text box is additionally provided with described patient information input template.
Compared with prior art, the present invention has advantages below:
First, templating, high efficiency:The present invention can effectively reduce the input that medical personnel largely repeat, and be controlled in hemodialysis
The index item of a large amount of standards, the weight of content more than 90% among doctor's advice, progress note, phase treatment summary during treatment be present
It is multiple, after template, it is only necessary to input difference, save 90% workload.
2nd, information is comprehensive, avoids omitting:Input content supports the definition of standard format write, and standardize input content, avoids
Information is omitted, and the definition of standard format write only needs to go to configure by template, can be changed at any time by actual demand, in the place used
Select and change the desired value of correlation, avoid the risk for the uncomplete content that empiricism brings.
Brief description of the drawings
Fig. 1 is flow chart of the method for the present invention in embodiment.
Embodiment
The present invention is described in detail with specific embodiment below in conjunction with the accompanying drawings.
Embodiment:
As shown in figure 1, the inventive method replaces input using template, this method is used to record doctor's advice, progress note, stage
When treatment is summarized, most of input content is replaced with template way, specifically includes following steps:
Step A:For every kind of type of template establishment one, it is template classification that the type, which is used for,.Template can be made to be not limited to cure
Advise, progress note, Stage Summary, be also applied to that input content is highly identical, the high input item of frequency.
Step B:According to the template type of selection, each template options of typing corresponding types needs.Content is mainly wrapped
Include:Title, text, sequence
Step C:The occasion of template is needed to use in input frame, a template combobox is added first, according to template type
Template options are loaded, are shown by the ranking value ascending order of configuration, secondly bind change events in combobox.
Step D:After a template is selected, trigger change events, the template body of selection is filled into specify it is defeated
Enter in frame.
Claims (6)
1. a kind of Templated patient in hospital hemodialysis information recording method, to during hemodialysis treatment medical personnel use mould
Plate records the doctor's advice and course of disease information of patient, it is characterised in that comprises the following steps:
1) confirm and select multiple record cases that record content is roughly the same during hemodialysis treatment and the input frequency is higher;
2) different types of patient information input template corresponding with record case is established respectively according to record case, to each type
The name of patient information input template, and set in patient information input template and need the content tab and label filled in
Corresponding input text box, while provide to input the format write of text box;
3) when needing to carry out electronic system record to patient's hemodialysis treatment information, the drop-down at the inputting interface of electronic system
Patient information input template corresponding to menu setecting;
4) corresponding content is entered into text box in patient information input template according to the hemodialysis situation of patient, preserved simultaneously
Typing electronic system.
2. a kind of Templated patient in hospital hemodialysis information recording method according to claim 1, it is characterised in that described
Step 1) in, record content is roughly the same and the higher record case of the input frequency is controlled including doctor's advice, progress note and stage
Treat and summarize.
3. a kind of Templated patient in hospital hemodialysis information recording method according to claim 1, it is characterised in that described
Step 3) in, the typonym of patient information input template is shown in the drop-down menu at inputting interface according to ascending sort
In.
4. a kind of Templated patient in hospital hemodialysis information recording method according to claim 1, it is characterised in that described
Step 4) in, the content of patient information input template is filled into the inputting interface of electronic system by change events.
5. a kind of Templated patient in hospital hemodialysis information recording method according to claim 1, it is characterised in that described
Patient information input template in need the content tab filled in include physiochemical indice and annotation item.
6. a kind of Templated patient in hospital hemodialysis information recording method according to claim 1, it is characterised in that described
Patient information input template in be additionally provided with customized information input text box.
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CN201610485781.7A CN107545929A (en) | 2016-06-28 | 2016-06-28 | A kind of Templated patient in hospital hemodialysis information recording method |
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CN201610485781.7A CN107545929A (en) | 2016-06-28 | 2016-06-28 | A kind of Templated patient in hospital hemodialysis information recording method |
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Cited By (1)
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CN110148470A (en) * | 2018-02-12 | 2019-08-20 | 杭州大伽信息科技有限公司 | The description of pathological tissue sample gross examination generates system and method |
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CN103606120A (en) * | 2013-11-25 | 2014-02-26 | 方正国际软件有限公司 | Progress note inputting device and method based on template |
CN104331854A (en) * | 2014-11-21 | 2015-02-04 | 浙江和仁科技股份有限公司 | Implementation technique for form editor of nursing record documents |
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2016
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CN101236579A (en) * | 2008-02-20 | 2008-08-06 | 杭州创业软件股份有限公司 | Dynamic structured electronic patient history |
CN103577716A (en) * | 2013-11-25 | 2014-02-12 | 方正国际软件有限公司 | Medical history template generating device and method |
CN103606120A (en) * | 2013-11-25 | 2014-02-26 | 方正国际软件有限公司 | Progress note inputting device and method based on template |
CN104331854A (en) * | 2014-11-21 | 2015-02-04 | 浙江和仁科技股份有限公司 | Implementation technique for form editor of nursing record documents |
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CN110148470A (en) * | 2018-02-12 | 2019-08-20 | 杭州大伽信息科技有限公司 | The description of pathological tissue sample gross examination generates system and method |
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