ABSTRACT
Objective:To design a method of similarity duplicate checking for structured electronic medical record so as to solve the problem of quality control of illegal copy in structured electronic medical records.Methods:To define the duplicate checking property of document template and document segment of structured electronic medical record, and adopt knuth-morris-pratt (KMP) of minimum ratio of similitude to achieve duplicate checking for similar medical record and look up medical records that were copy by using deregulation method.Results:It can find medical records with similar ratio greater than a fixed threshold from structured electronic medical records, and check the similarity of illegally copied medical records.A total of 173 copies of illegally copied medical records were found from more than3500 medical records.Conclusion:The similarity duplicate checking method of structured electronic medical records can realize look up medical record that is copied by using deregulation from structured electronic medical record files, and can effectively control quality of medical records of hospital.
ABSTRACT
Objective To execute medical insurance little catalogue warning in HIS to prevent the doctor from providing medical service beyond medical insurance coverage.Methods Medical insurance little catalogue was established to regulate the boundaries for medical services available for different patients,and corresponding software was embedded into the medical workstation to call medical insurance little catalogue so as to realize warning for the boundaries and reimbursement rate.Results The function decreased the doctor's workload and the patient's cost while enhanced the doctor's efficiency and the doctor-patient relationship.Conclusion The function is easy to realize with high feasibility,and thus is worthy promoting practically.