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ELECTRONIC MEDICAL RECORDS SYSTEM WITH ACTIVE CLINICAL GUIDELINES AND PATIENT DATA

机译:具有主动临床指南和患者数据的电子医疗记录系统

摘要

An active guidelines capability or component is linked to a computerized patient record system to integrate the use of clinical guidelines in the workflow of clinicians treating patients. Many healthcare entities maintain sets of clinical guidelines describing recommended treatment or analysis options for patients displaying sets of symptoms or for whom certain diagnoses have been made. The active guidelines feature adds an active guidelines tag to such clinical guidelines so that when the clinician accesses the clinical guidelines and wishes to follow the recommendation, the clinician merely has to click on a hypertext created from the tag which then transmits action orders, also contained in the tag, to be transmitted to the computerized patient record system for implementation. Patient data associated with the recommendations, such as relevant test or lab results, interaction or allergy information, or other current treatments, is also identified and displayed.
机译:主动准则功能或组件链接到计算机化的患者记录系统,以将临床准则的使用整合到治疗患者的临床医生的工作流程中。许多医疗机构维护着一套临床指南,这些指南描述了针对出现症状集或已做出某些诊断的患者的推荐治疗或分析选项。主动指南功能将主动指南标签添加到此类临床指南中,以便当临床医生访问临床指南并希望遵循建议时,临床医生仅需单击从标签创建的超文本,然后再发送动作指令(也包含在内)在标签中,将其传输到计算机化的患者记录系统以进行实施。还可以识别和显示与建议相关的患者数据,例如相关的测试或实验室结果,相互作用或过敏信息或其他当前治疗方法。

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