Integrating with current situation of medical and health informatization in our country, by means of a careful study of CDA R2.0 international standards and specifications concerned, this paper summarizes the methods about how to exchange and share informations in regional Electronic Patient Records in foreign countries. It has designed the schema of the first page of EPR, implemented formatted output of a sample based on CDA R2.0 and thus validated the feasibility and effectiveness of its applications in the future of China.
China ; Medical Records Systems, Computerized ; standards

The records of 58 children's general anesthesia children (ASA I) were investigated. The handwritten records and the automatic anesthetic records were applied simultaneously to collect data from each patient. The total duration of anesthesia (T), the time for handwritten record (H), and the time for automatic record (A) were recorded by 3 timers respectively. Fifty-four records were available and were divided into two groups: group I, T > 1h (n = 29), group II: T < 1h (n = 25). Automatic record saved time (P < 0.001) in both groups. Furthermore, in group I, automatic record kept more vital sign notes (P < 0.001), but had no more event notes (P = 0.407); In group II, automatic record kept more event notes (P = 0.015), but had no more vital signs notes (P = 0.374). In general, automatic anesthetic record is suitable for all kinds of duration of anesthesia. When the time extends, it can provide a better platform for the anesthesiologist to improve the quality of management.
Anesthesiology ; organization & administration ; standards ; Forms and Records Control ; Hospital Information Systems ; organization & administration ; standards ; Humans ; Medical Records ; standards ; Medical Records Systems, Computerized ; Time Factors

In view of the current predicament of updating the application software on the hospital information system's client, the Synchronizer module in PowerBuilder is used in combination with some techniques of the windows operation system, in order to implement automatic synchronistic updating of the application software on the Hospital Information System's client before the program's running.
Hospital Information Systems ; standards ; Humans ; Medical Records Systems, Computerized ; standards ; Software

The development of external counterpulsation (ECP) local area network system and extensible markup language (XML)-based remote ECP medical information system conformable to digital imaging and communications in medicine (DICOM) standard has been improving the digital interchangeablity and sharability of ECP data. However, the therapy process of ECP is a continuous and longtime supervision which builds a mass of waveform data. In order to reduce the storage space and improve the transmission efficiency, the waveform data with the normative format of ECP data files have to be compressed. In this article, we introduced the compression arithmetic of template matching and improved quick fitting of linear approximation distance thresholding (LADT) in combimation with the characters of enhanced external counterpulsation (EECP) waveform signal. The DICOM standard is used as the storage and transmission standard to make our system compatible with hospital information system. According to the rules of transfer syntaxes, we defined private transfer syntax for one-dimensional compressed waveform data and stored EECP data into a DICOM file. Testing result indicates that the compressed and normative data can be correctly transmitted and displayed between EECP workstations in our EECP laboratory.
Computer Communication Networks ; standards ; Counterpulsation ; methods ; Humans ; Information Storage and Retrieval ; Medical Records Systems, Computerized ; standards ; Programming Languages

Enhanced extracorporeal counterpulsation (EECP) information consists of both text and hemodynamic waveform data. At present EECP text information has been successfully managed through Web browser, while the management and sharing of hemodynamic waveform data through Internet has not been solved yet. In order to manage EECP information completely, based on the in-depth analysis of EECP hemodynamic waveform file of digital imaging and communications in medicine (DICOM) format and its disadvantages in Internet sharing, we proposed the use of the extensible markup language (XML), which is currently the Internet popular data exchange standard, as the storage specification for the sharing of EECP waveform data. Then we designed a web-based sharing system of EECP hemodynamic waveform data via ASP. NET 2.0 platform. Meanwhile, we specifically introduced the four main system function modules and their implement methods, including DICOM to XML conversion module, EECP waveform data management module, retrieval and display of EECP waveform module and the security mechanism of the system.
Computer Communication Networks ; standards ; Counterpulsation ; methods ; Heart-Assist Devices ; Hemodynamics ; Humans ; Internet ; Medical Records Systems, Computerized ; standards ; Programming Languages

OBJECTIVETo evaluate the quality of methodology and reporting of randomized controlled trials of acupuncture for obesity worldwide.

METHODSCollecting all the randomized controlled trials of acupuncture for obesity worldwide by systematically searching without language limitation. The quality of methodology and reporting was evaluated by the quality criteria recommended by Cochrane handbook and CONSORT (consolidate standards of reporting trial) and STRICTA (standard for reporting interventions in controlled trials of acupuncture) checklists.

RESULTSSeven randomized controlled trials of acupuncture for obesity were identified. The quality of methodology was graded as "A" in one trial, "B" in two trials and "C" in the other four trials. The reporting quality of the seven trials was graded as "C".

CONCLUSIONSThe methodology quality of the randomized controlled trials of acupuncture for obesity was too poor to provide strong evidence for clinical practice, and the poor reporting quality of the trials resulted in inadequate information from the trials.

Acupuncture Therapy ; methods ; standards ; Evaluation Studies as Topic ; Humans ; Medical Records ; standards ; Obesity ; therapy ; Peer Review, Research ; standards ; Practice Guidelines as Topic ; Publishing ; standards ; Quality Control ; Randomized Controlled Trials as Topic ; standards ; Research Design ; standards

Gastric cancer is the most common cancer in Korea and has overall survival rate of around 50%. Gastric cancer detected in early stage can be cured by endoscopic resection or less invasive surgical treatment and the subsequent prognosis is excellent. National cancer screening program for gastric cancer has been available for several years. The evaluation for efficacy of our screening strategy is strongly needed in terms of mortality reduction and cost-effectiveness. Accurate diagnosis and staging evaluation is important for proper management and prediction of a patient's prognosis. It is recommended to understand the advantages and limitations of currently available guidelines and diagnostic modalities. The 7th edition of gastric cancer staging system from AJCC may have significant effect on our knowledge and patient management.
*Early Detection of Cancer ; Humans ; Medical Records/standards ; Neoplasm Staging ; Stomach Neoplasms/*diagnosis/pathology/radiography

We performed a study to determine whether clinical history gives a positive or negative influence on X-ray film interpretation. One hundred and nine patient's radiograms, consisting of 55 normal and 54 abnormal cases (136 abnormalities), were interpreted twice by three pairs of residents in radiology and a pair of qualified radiologists, without clinical history first and with clinical history next. The interpreters recorded diagnosis and confidence level of normal or abnormal findings on a six-point scale. Analysis of receiver operating characteristic (ROC) curves showed that knowledge of clinical history improved diagnostic accuracy. Residents, especially beginners, should be advised to obtain clinical history whenever they read radiograms.
Analysis of Variance ; Human ; *Medical Records ; Observer Variation ; Radiography/*standards ; Support, Non-U.S. Gov't

This paper Analys the design goals of Medical Instrumentation standard information retrieval system. Based on the B /S structure,we established a medical instrumentation standard retrieval system with ASP.NET C # programming language, IIS f Web server, SQL Server 2000 database, in the. NET environment. The paper also Introduces the system structure, retrieval system modules, system development environment and detailed design of the system.
Database Management Systems ; Equipment and Supplies ; standards ; statistics & numerical data ; Information Systems ; Internet ; Medical Records Systems, Computerized

Breast Neoplasms ; pathology ; Carcinoma, Ductal, Breast ; pathology ; Humans ; Medical Records ; standards