The electronic medical record system adopts a new mode of structured and free entry, free writing and easy entry. Realize the preservation, management, transmission and reproduction of patient medical records (including home pages, medical course records, inspection and test results, doctor's orders, operation records, nursing records, etc.), replacing handwritten paper medical records. It not only realizes the electronic storage of paper medical records, but also realizes the rapid, intelligent, fully structured entry and full template management of medical records.
Basic features
●Electronic medical record editor adopts the WYSIWYG interface style imitating WORD, intuitive and simple, easy to learn and use.
●Supports the structured storage of medical record documents, and is a real structured electronic medical record system.
●Support rich medical record template library (simple element library, complex element library, small template library, large template library, commonly used language library).
●Support continuous printing (continued printing), repeated printing, and printing by page number of medical course records and nursing records.
●Powerful table processing capability (can easily make table medical records), support table nesting, merge cells, split cells, delete rows, delete columns, add rows, add columns, insert elements in the table, table width manually or auto-adjust.
●Supports data element binding and implements multi-document synchronous refresh technology.
●Supports key words to prohibit deletion. (For example, key words such as "chief complaint, history of present illness, past history, family history, general examination, specialist examination").
●Support the legality check of the input value.
●Support mandatory check.
●Support various medical special expressions (such as formula expression of menstrual history, fetal heart rate, caries position).
●A rich library of medical images and a powerful editor for medical loss diagrams, supporting complex operations such as multiple graphics editing, combination, splitting, Undo/Redo, complex filling, custom line types, copying, and pasting.
●Support three-level inspection (three-level review) function of medical record documents.
●Support modification trace retention, retain modification traces of doctors at all levels.
●Support data locking, check-in and check-out mechanism.
●Support structured retrieval of electronic medical records.
●Support extraction, storage and retrieval of typical medical records.
●Support automatic scoring and evaluation of medical record quality.
●Support online borrowing and approval of medical records.
● Fast copy function.
●Support to attach various multimedia files (such as: sound, image, video, animation, etc.) to the document in the form of attachment.
●Medical records can be exported in XML format to facilitate data exchange.
●Support the seamless access of HIS, PACS, LIS, RIS and other systems.
● Powerful security mechanism, asymmetric encryption, CRC verification.
●Compressed and encrypted storage of medical records, greatly saving storage space.
●Support the entry and printing of the three test sheets.
●Quick retrieval function of drug information.
●Quickly view the diagnosis and treatment norms of common diseases.
●ICD code query.