Carrajo Lino, Penas Angel, Melcón Rubén, González Fco Javier, Couto Eduardo
R&D&I, Information Technology Department, CHU Juan Canalejo, A Coruña, Spain.
Stud Health Technol Inform. 2008;136:395-400.
This paper describes the creation process of an electronic medical records (EMR) application in the Juan Canalejo University Hospital Complex (CHUJC). From the knowledge acquired through the observation of the traditional processes of managing the Patients medical records on paper a tool was developed which in principle was thought of to classify electronic documents associated to a patient and to which different functions of medical work have been subsequently added: visualizing clinical documents of patients, creation of new documents and following the development of patients.
本文介绍了胡安·卡纳莱霍大学医院综合院区（CHUJC）电子病历（EMR）应用程序的创建过程。通过观察纸质病历管理的传统流程获得相关知识后，开发了一种工具，该工具原则上用于对与患者相关的电子文档进行分类，随后又添加了医疗工作的不同功能：查看患者临床文档、创建新文档以及跟踪患者病情发展。
