本文選題：醫(yī)學編輯器　切入點：電子病歷　出處：《中南民族大學》2012年碩士論文

【摘要】：隨著醫(yī)療信息學在理論研究和工程實踐上的發(fā)展，醫(yī)療信息化技術已經得到越來越廣泛的應用，醫(yī)療衛(wèi)生服務逐步進入數字化、信息化的時代，，并取得了許多成果。然而在推行的醫(yī)療信息化建設進程中也遇到了一些問題，其中醫(yī)療信息共享技術是需要解決的問題之一。 要解決醫(yī)療信息共享問題，需要從醫(yī)學信息標準化和不同信息系統(tǒng)之間互操作性兩個方面入手。醫(yī)學報告作為記錄病患的醫(yī)學信息（如生命體征、病史、過敏史、病歷、檢查影像等等）的主要載體，其對于醫(yī)療信息共享的作用是基礎性的。針對這一問題，本論文設計開發(fā)了一個專用醫(yī)學編輯器系統(tǒng)。 該系統(tǒng)在處理醫(yī)學報告文檔的導入、導出、編輯操作過程中，采用支持HL7交互的XML格式，即可以很好地滿足醫(yī)療信息標準化問題，又可以滿足醫(yī)生在編輯醫(yī)學報告方面的基本功能需求。 在系統(tǒng)中設計了醫(yī)用編輯修改痕跡保留功能，主要用于將醫(yī)療過程中產生的報告內容和所有修改痕跡保留起來作為醫(yī)療行為證據供日后調閱審查。 針對醫(yī)學報告中的文本和檢查影像部分融合問題，在編輯器中實現(xiàn)了嵌入標準DICOM格式影像的閱片功能，有效地將醫(yī)學影像和報告整合在一起。經過試驗測試，本文所設計開發(fā)的醫(yī)學編輯器完成了與現(xiàn)有的PACS和EMRs的系統(tǒng)集成，具備良好的實用性。
[Abstract]:With the development of medical informatics in theory research and engineering practice, medical information technology has been more and more widely used. Medical and health services have gradually entered the era of digitization and informatization, and many achievements have been made.However, some problems have been encountered in the process of medical information construction, among which medical information sharing technology is one of the problems to be solved.In order to solve the problem of medical information sharing, the standardization of medical information and the interoperability of different information systems should be started.As the main carrier of medical information (such as vital signs, medical history, allergies, medical records, examination images, etc.), medical reports are fundamental to the sharing of medical information.In order to solve this problem, a special medical editor system is designed and developed in this paper.In the process of processing the import, export and edit of medical report documents, the system adopts XML format which supports HL7 interaction, that is, it can well meet the problem of medical information standardization.It can also meet the basic functional needs of doctors in editing medical reports.In the system, the function of medical editing modification trace retention is designed, which is mainly used to keep the report content and all the modified traces produced in the medical process as evidence of medical behavior for later review.Aiming at the fusion of text and inspection image in medical report, the function of embedding standard DICOM format image into the editor is realized, which can effectively integrate medical image and report together.The medical editor designed and developed in this paper has been integrated with the existing PACS and EMRs system, and has good practicability.
【學位授予單位】：中南民族大學
【學位級別】：碩士
【學位授予年份】：2012
【分類號】：R318.0

【參考文獻】

相關期刊論文 前8條

1 孫佳佳;劉繼蘭;;電子病歷法律效力問題初探[J];醫(yī)院管理論壇;2008年09期

2 袁德華;李琪;;電子病歷任重而道遠[J];科技信息(學術研究);2007年21期

3 徐殿武;;位圖文件操作的程序設計的研究[J];微計算機信息;2007年15期

4 穆鵬義;;電子病歷系統(tǒng)的五大技術難點及解決方案[J];中國數字醫(yī)學;2008年03期

5 王光飛,劉杰,劉文;DICOM醫(yī)學圖像的調窗技術及DIB顯示[J];醫(yī)療裝備;2005年08期

6 王成波,陳偉,謝兵,張恩全,何強;DICOM圖像與BMP圖像的轉換研究[J];醫(yī)療衛(wèi)生裝備;2004年01期

7 王繼偉;董志強;;從電子病歷系統(tǒng)到區(qū)域電子病歷系統(tǒng)建設與發(fā)展[J];醫(yī)學信息;2006年11期

8 林春漪,尹俊勛,馬麗紅,陳健宇;論解讀DICOM醫(yī)學圖像文件及其顯示的VC++實施方法[J];現(xiàn)代醫(yī)學儀器與應用;2005年01期

本文編號：1727892