TY - GEN
T1 - Dynamic viewer of medical events in electronic medical record
AU - Matsumura, Yasushi
AU - Kuwata, Shigeki
AU - Kusuoka, Hideo
AU - Takahashi, Yasushi
AU - Onishi, Hisashi
AU - Kawamoto, Toshio
AU - Takeda, Hiroshi
PY - 2001
Y1 - 2001
N2 - Medical record should enable doctors to comprehend the patient's history and select suitable medical treatment. In paper based medical records, medical events (examination, treatment etc.) are recorded successively, and problem oriented recording is difficult to be applied to patients with much information and a long history. Consequently it is not easy to understand the patient's history from paper based medical records. In order to solve this problem, we developed the flow sheet system in our electronic medical record (EMR). To make a flow sheet, we analyzed the structure of the medical event data. In this paper we introduced the medical event information model for our EMR. Furthermore, we clarified the specification of the data presentation on the flow sheet. We developed the flow sheet on the basis of these analyses. Because there are 3 layers in the vertical axis of the flow sheet, many items of the medical event can be displayed on the screen. When user clicks the cell, the corresponding detail data including images are shown. This system functions to link medical event items with a problem, and shows the bundled items on the flow sheet when the user selects the problem. We implemented this system in Osaka University Hospital. The number of the types of medical events and those of detail events in inpatients are 5.0±1.7 (mean±SD) and 60±47, respectively. The medical doctors in Osaka University Hospital evaluated this system, and concludes that the flow sheet data presentation makes comprehension of the patient's history easier than paper based records. As to the function of bundling the items relevant to the problem, they feel it is especially useful for patients with chronic disease. Thus the flow sheet data presentation in EMR is useful for medical practice.
AB - Medical record should enable doctors to comprehend the patient's history and select suitable medical treatment. In paper based medical records, medical events (examination, treatment etc.) are recorded successively, and problem oriented recording is difficult to be applied to patients with much information and a long history. Consequently it is not easy to understand the patient's history from paper based medical records. In order to solve this problem, we developed the flow sheet system in our electronic medical record (EMR). To make a flow sheet, we analyzed the structure of the medical event data. In this paper we introduced the medical event information model for our EMR. Furthermore, we clarified the specification of the data presentation on the flow sheet. We developed the flow sheet on the basis of these analyses. Because there are 3 layers in the vertical axis of the flow sheet, many items of the medical event can be displayed on the screen. When user clicks the cell, the corresponding detail data including images are shown. This system functions to link medical event items with a problem, and shows the bundled items on the flow sheet when the user selects the problem. We implemented this system in Osaka University Hospital. The number of the types of medical events and those of detail events in inpatients are 5.0±1.7 (mean±SD) and 60±47, respectively. The medical doctors in Osaka University Hospital evaluated this system, and concludes that the flow sheet data presentation makes comprehension of the patient's history easier than paper based records. As to the function of bundling the items relevant to the problem, they feel it is especially useful for patients with chronic disease. Thus the flow sheet data presentation in EMR is useful for medical practice.
KW - electronic medical record
KW - flow sheet
KW - problem oriented medical record
KW - structured data entry
UR - http://www.scopus.com/inward/record.url?scp=84882532040&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84882532040&partnerID=8YFLogxK
U2 - 10.3233/978-1-60750-928-8-648
DO - 10.3233/978-1-60750-928-8-648
M3 - Conference contribution
AN - SCOPUS:84882532040
SN - 1586031945
SN - 9781586031947
T3 - Studies in Health Technology and Informatics
SP - 648
EP - 652
BT - MEDINFO 2001 - Proceedings of the 10th World Congress on Medical Informatics
PB - IOS Press
T2 - 10th World Congress on Medical Informatics, MEDINFO 2001
Y2 - 2 September 2005 through 5 September 2005
ER -