Safdari Reza, Mokhtaran Mehrshad, Tahmasebian Shahram
Department of Health Information Management, Tehran University of Medical Science, Tehran, Iran.
Acta Inform Med. 2016 Oct;24(5):308-312. doi: 10.5455/aim.2016.24.308-312. Epub 2016 Nov 1.
Electronic medical records as one of major parts of electronic health records is an important application of Medical Informatics. EMR includes different types of data, Graphical items being one of these data types. To this end, a standard structure for storing and recovering and finally exchanging this data type is required. In order to standardize information items in this research, UMLS standard is used. In this research, graphical information from fondues designing in retina surgery forms is used for the task of implementation.
Three-layer software architecture is used for implementation of this system, which includes user interface, data base access and business logic. XML database is used for storing and exchanging of data. User interface is designed by the means of Adobe Flash. Also in the user interface for eye examinations, appropriate icons compatible with current pathologies in retina examinations are considered and UMLS codes are used for standardizations purposes.
As this project is independently implemented in Adobe Flash, it can be run in most of electronic patient records software. For evaluation purposes of this research, an EMR system for eye clinics is used. Tree structure is used for data entry and finally a text report based on the entered data will be generated. By storing graphical items in this software editing and searching in medical concepts and also comparing features will be available.
One of the data items that we encounter in various medical records is graphical data. In order to cover the patient's complete electronic medical records, the Electronic Implementation of this information is important. For this purpose, graphical items in retina surgery forms were used and finally a software application for drawing retina picture was developed. Also, XML files were used for the purpose of storing valuable medical data from the pictures, and also UMLS were applied for the standardization purpose. The developed software is currently being used in some of eye clinics in Iran.
电子病历作为电子健康记录的主要组成部分之一,是医学信息学的一项重要应用。电子病历包含不同类型的数据,图形项就是其中一种数据类型。为此,需要一种用于存储、恢复并最终交换这种数据类型的标准结构。为了在本研究中规范信息项,使用了统一医学语言系统(UMLS)标准。在本研究中,视网膜手术表单中眼底设计的图形信息被用于实施任务。
该系统的实施采用三层软件架构,包括用户界面、数据库访问和业务逻辑。XML数据库用于数据的存储和交换。用户界面通过Adobe Flash进行设计。此外,在眼科检查的用户界面中,考虑了与当前视网膜检查病理情况相匹配的适当图标,并使用UMLS代码进行标准化。
由于该项目是在Adobe Flash中独立实施的,它可以在大多数电子病历软件中运行。为了对本研究进行评估,使用了一个眼科诊所的电子病历系统。采用树形结构进行数据录入,最后将根据录入的数据生成文本报告。通过在该软件中存储图形项,可以进行医学概念的编辑和搜索,还能进行特征比较。
我们在各种医疗记录中遇到的数据项之一是图形数据。为了涵盖患者完整的电子病历,对这些信息进行电子化实施很重要。为此,使用了视网膜手术表单中的图形项,最终开发了一个用于绘制视网膜图像的软件应用程序。此外,XML文件用于存储图片中的宝贵医学数据,同时UMLS用于标准化目的。所开发的软件目前正在伊朗的一些眼科诊所使用。