Research on structure data entry for electronic medical records based on medical ontology
- VernacularTitle:基于医学本体的电子病历结构化数据采集研究
- Author:
Xichuan ZHENG
;
Yanfeng HU
;
Yunzhen WU
- Publication Type:Journal Article
- Keywords:
electronic medical records (EMR);
medical ontology;
structure data entry(SDE)
- From:
Chinese Medical Equipment Journal
1989;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To further develop SDE for structured documentation of clinical data based on medical ontology. Methods OpenSDE was customized for the broad domain of medical ontology: medical concepts and its descriptors from history taking and physical examination were modeled into a tree structure. Results An expandable EMR system with structured data entry was developed. Conclusion Structured data entry is significant to clinical decision based on EMR.
