Research on Digitalization Path and Method of Hospital Medical Records Information
10.11842/wst.2015.02.017
- VernacularTitle:医院病历信息数据化的路径与方法研究
- Author:
Xiangpei WANG
;
Yipeng SONG
;
Liyun HE
;
Zhiyu WANG
;
Dongning YAN
;
Yang YANG
;
Peng LI
- Publication Type:Journal Article
- Keywords:
Retrospective study design;
medical record information;
digitalization;
quality control
- From:
World Science and Technology-Modernization of Traditional Chinese Medicine
2015;(2):389-393
- CountryChina
- Language:Chinese
-
Abstract:
Based on a retrospective study design, this article was aimed to discuss the transformation path and method of hospital medical records information into analyzable data, in order to solve the problem of text-based information digitalization, and improve the credibility of statistical results. The hospital medical records information of traditional Chinese medicine (TCM) treatment for infantile cerebral palsy was taken as example. After the identification of research purpose, the study contained 8 steps, which were index identification, index definition, coding and assignment, database design, data entry, quality control, and database locking. The database contained research-related indicators was received. The results showed that a set of path and method based on indicator extraction and conversion of hospital medical records information into data. It was concluded that in the retrospective study design, the conversion of text information into analyzable data was the key step. Extraction and digitalization of indicators should be based on the research plan. Key elements such as the crowd, treatment plan, evaluation indicator, should be paid attention to for the systematic analysis, in order to ensure the system integrity of research indicators.