| The medical record is the original data of the medical data generated in the process of diagnosis and treatment,and it is an objective legal document.Improve the integrity and authenticity of the medical records,making it more important to file the medical records in a timely manner.The medical record room has been using manual method to record the paper medical records and statistics work,Inconvenient query and management in work.This project provides a high efficient medical record filing registration,query management platform,improve the work efficiency and reduce the error caused by human error.First,Functional requirements analysis,the specific requirements of the medical record room,according to business process flow chart,use case diagram,select the development language,development tools and background database.According to the requirements of the software and the function and performance requirements,data design,system structure design,process design.The overall system design,including the drawing function module chart,the system interface design,carries on the database logical structure design,including the establishment of various functions of the table storage data,the establishment of the view to query data,etc..The project is intelligent and automatic,and it is possible to reduce the human operation and ensure the accuracy of the data.The key issues are addressed in the following areas:1、With EMR,HIS system to achieve interface calls,the patient’s basic information sharing,to avoid duplication of uncertainty.2 、 The system automatically determines whether the medical record is in line with 3 or 7 days,and can be realized by setting the holiday system to skip the holidays and the first rest days to meet the 3 or 7 days of filing.3、After the paper medical records,electronic medical records and medical record home synchronization lock.4、The index card of medical record is saved in the server by the way of taking pictures,which is saved resources,and easy to manage and query.5、Subjects submit records according to the actual situation,the system automatically medical record filing rate of smart statistics,the statistics of departments and the hospital 3 and 7 days of filing rate. |