Clinical Supporting System in Large-scaled General Hospital with Customized Interface Layer between Electronic Patient Record System and Filemaker Pro

摘要

Introduction; Clinical supporting system (CSS) is the utility software such as the cancer patient database or bedsore patient database designed by hospital staffs. Clinical supporting system is usually constructed and operated separately from electronic patient record (EPR) system, because clinical supporting system needs a flexible formation to fulfill the user''s requests which is impossible by using the stiff vender-made EPR system. We had been using clinical supporting database system made by FileMaker Pro server-client system since 1998. This system included the scheduling system of surgical operations, bedsore record, surgical site infection record, and catheter infection record. On April 2006, we introduced the EPR system and developed the clinical supporting system connected to the main EPR system. Method; We developed "Card-type EPR system" by adding customized interface layer made by FileMaker Pro on the vender-made EPR system, EG-MainEX (Fujitsu Co. ltd.). In this card-type system, the input-output layouts can be modified easily as user need, and several functions which were not provided by the main system, can be introduced very easily. We have been used this EPR system in out-patient consultation in Departments of Medicine, Cardiology, and Obstetrics since April 2000. When the main EPR system was renewed to EG-Main EX Ver.6 on April 2006, the interface layer was newly customized not only for doctors of all Departments but also for medical social workers and clinical psychologists to use the clinical supporting system. We also unified the clinical supporting system already existed to the EPR System.