Department of Electrical Engineering, National Taiwan University, Taipei, Taiwan.
J Med Syst. 2012 Feb;36(1):335-45. doi: 10.1007/s10916-010-9479-y. Epub 2010 Apr 6.
Discharge summary note is one of the essential clinical data in medical records, and it concisely capsules a patient's status during hospitalization. In the article, we adopt web-based architecture in developing a new discharge summary system for the Healthcare Information System of National Taiwan University Hospital, to improve the traditional client/sever architecture. The article elaborates the design approaches and implementation illustrations in detail, including patients' summary query and searching, model and phrase quoted, summary check list, major editing blocks as well as other functionalities. The system has been on-line and achieves successfully since October 2009.
出院小结记录是病历中基本的临床资料之一,它简明扼要地概括了患者住院期间的状况。本文采用基于网络的架构,为台湾大学附属医院的医疗信息系统开发了一个新的出院小结系统,以改进传统的客户端/服务器架构。本文详细阐述了设计方法和实现示例,包括患者小结查询和搜索、引用的模型和短语、小结核对清单、主要编辑块以及其他功能。该系统自 2009 年 10 月上线以来已成功运行。