基于XML的医学编辑器系统的研究与实现

发布时间：2018-04-09 19:52

本文选题：医学编辑器　切入点：电子病历　出处：《中南民族大学》2012年硕士论文

【摘要】：随着医疗信息学在理论研究和工程实践上的发展，医疗信息化技术已经得到越来越广泛的应用，医疗卫生服务逐步进入数字化、信息化的时代，，并取得了许多成果。然而在推行的医疗信息化建设进程中也遇到了一些问题，其中医疗信息共享技术是需要解决的问题之一。要解决医疗信息共享问题，需要从医学信息标准化和不同信息系统之间互操作性两个方面入手。医学报告作为记录病患的医学信息（如生命体征、病史、过敏史、病历、检查影像等等）的主要载体，其对于医疗信息共享的作用是基础性的。针对这一问题，本论文设计开发了一个专用医学编辑器系统。该系统在处理医学报告文档的导入、导出、编辑操作过程中，采用支持HL7交互的XML格式，即可以很好地满足医疗信息标准化问题，又可以满足医生在编辑医学报告方面的基本功能需求。在系统中设计了医用编辑修改痕迹保留功能，主要用于将医疗过程中产生的报告内容和所有修改痕迹保留起来作为医疗行为证据供日后调阅审查。针对医学报告中的文本和检查影像部分融合问题，在编辑器中实现了嵌入标准DICOM格式影像的阅片功能，有效地将医学影像和报告整合在一起。经过试验测试，本文所设计开发的医学编辑器完成了与现有的PACS和EMRs的系统集成，具备良好的实用性。
[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.
【学位授予单位】：中南民族大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R318.0

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