Application status of standardized nursing language in electronic health record
10.3760/cma.j.issn.1672-7088.2019.09.018
- VernacularTitle: 标准化护理语言在电子健康记录中的应用现状
- Author:
Yicong LIU
1
;
Tingting ZHANG
1
;
Zijun ZHANG
1
;
Lijiao WEI
1
;
Xinhua XIA
2
Author Information
1. Graduate School of Tianjin University of traditional Chinese Medicine, Tianjin 300457, China
2. Nursing Department, Tianjin TEDA Hospital, Tianjin 300457, China
- Publication Type:Review
- Keywords:
Standardized nursing languages;
Electronic health records;
Application status
- From:
Chinese Journal of Practical Nursing
2019;35(9):717-721
- CountryChina
- Language:Chinese
-
Abstract:
Electronic health record is an important part of medical information research and has been widely used in medical institutions to help medical personnel deal with various medical information. However, due to the lack of standardized nursing language, nurses are often unable to reuse nursing data in electronic health records, which hinders the further development of medical information sharing and electronic health records. The use of standardized nursing language can support efficient and complete nursing documents in electronic health records and meet the requirements of clinical and data interoperability. This paper summarizes the definition and significance of electronic health record and standardized nursing language and the application status of standardized nursing language based on electronic health record, so as to provide scientific reference for the development and improvement of electronic health record in China.
