论文部分内容阅读
已有的电子病历系统多安装于非移动台式个人计算机上,体量大、不能移动,因此不能满足查房等需要病史在病房中跟随医师移动的实际工作需求,即存在医师办公室到患者床旁的“10米断层”。特别是帕金森病患者的诊治过程中有大量的量表评估需求,需要记录医师与患者的实时互动。为克服上述缺点,满足帕金森病的特殊诊治需求,目前研发一种基于iOS系统的可移动帕金森病电子病历系统。该系统装载于iPad mini中,由基本信息、知情同意、必填病历、选填病历四大部分组成,具有灵敏便携的特点,极大地提高了查房效率、增加了医师对帕金森病患者病情把握的准确性、同时为进修医师和研究生的培训提供了良好手段。
Existing electronic medical records system installed on a non-mobile desktop personal computer, the volume is large, can not move, it can not meet the rounds and other needs of the medical history in the ward to follow the doctor’s actual work needs to move, that there is a physician’s office to the patient bedside The “10-meter fault”. In particular, patients with Parkinson’s disease diagnosis and treatment process have a large number of scales to assess the need to record the doctor and the patient’s real-time interaction. To overcome these shortcomings, to meet the special needs of diagnosis and treatment of Parkinson’s disease, we have developed a portable Parkinson’s disease electronic medical record system based on the iOS system. The system is loaded on the iPad mini and is composed of four parts: basic information, informed consent, required medical record and optional medical records. It has the characteristics of being sensitive and portable, greatly improving the rounds of examination efficiency and increasing the physician’s performance on patients with Parkinson’s disease Accurate grasp of the same time for the training of physicians and graduate students to provide a good means of training.