Surgical anesthesia clinical information system source code Hand anesthesia system complete source code
The function of the clinical information system for surgical anesthesia meets the requirements of the third-class first-class hospital, and realizes the comprehensive connection with the existing information systems of the hospital, such as HIS, LIS, PACS, EMR, etc. , the whole process until discharge. Through equipment integration with related medical instruments, traditional monitoring equipment in the operating room such as monitors, anesthesia machines, and ventilators can be easily integrated, and it can also be connected with blood gas analyzers and other equipment to quickly obtain intraoperative test results. At the same time, the information integration with the hospital information system realizes the automatic collection and sharing of perioperative patient information and fully supports anesthesia document records, anesthesia process management, anesthesia operation event management, anesthesia recovery management, etc.
System Features:
Doctors’ experience and workload are accumulated, and basic patient information is automatically obtained;
Prepare pharmaceutical materials and system self-calculation, obtain medical records and establish plans;
Medical record review and intraoperative plan data collection;
Collect patient information, comprehensively browse intraoperative information, and automatically generate various statistics;
Electronic medical record information exchange, bill return, financial statistics;
Postoperative follow-up, disease course records, treatment plans, analgesic treatments, and various statistics and analysis are automatically generated.
functional module:
1. Surgical care system
Surgery application: supports the issuance, cancellation, execution and other operations of surgery application, supports the printing of surgical orders, etc.;
Nursing records: Surgical nursing work needs to be performed during and after surgery, and surgical nursing records and surgical fee records must be completed;
Surgery billing: Supports operating room billing and supports billing data backhaul to HIS.
2. Anesthesia management
Anesthesia visit: Anesthesiologists need to record the process of surgical anesthesia, including changes in the patient’s vital signs from monitors, as well as preoperative, intraoperative, and postoperative anesthesia induction records, as well as intraoperative anesthesia records, various laboratory tests, and surgical procedures. Post-anesthesia summary and postoperative follow-up;
Preoperative: anesthesia visit, anesthesia plan, informed consent, risk assessment, safety inspection;
Intraoperative: monitoring of physical signs, recording of key events, safety inspections Resuscitation: monitoring of physical signs, medication management;
Postoperative: postoperative follow-up, postoperative analgesia, and anesthesia summary;
Informed Consent: Support informed consent;
Risk Assessment: Support surgical risk assessment;
Safety inspection: Support pre-anesthesia safety inspection, support safety inspection before and after surgery;
Anesthesia testing: Continuously measure, observe and record the patient's physiological functions during anesthesia and surgery;
Postoperative analgesia: refers to analgesic intervention including preoperative, intraoperative and postoperative analgesia throughout the perioperative period;
Anesthesia recovery: Provides recovery event recording function, time can be automatically generated, and input and output volume can be automatically calculated;
Anesthesia summary and postoperative visit: records to support anesthesia effects, records to support recovery, and records to support analgesic treatment.
3. Department management
Arrangement between operations: surgical nurses need to schedule operations before operations, register information that has been registered, arrange for each scheduled operation, support cancellation of scheduled operations and scheduled operations, and support for changing patient operation information;
Anesthesia scheduling: It is necessary to schedule anesthesiologists and prepare sterilized instrument kits and surgical consumables;
Nurse shift scheduling: Manage nurses’ shift schedules.
System advantages and value
1. It has a comprehensive and complete query system, which can perform multi-condition and multi-key element query according to the user's multiple business models. The query conditions involve multiple data models, such as basic patient information, preoperative examination, intraoperative monitoring, postoperative evaluation, etc. . The system also provides a variety of data retrieval modes based on clinical surgical anesthesia and patient management needs, and longitudinally analyzes and filters dynamic data at different times according to different time points. And the queried data can generate different reports according to needs, and provide printing functions.
2. The patient overview module provides on-duty staff, directors, and head nurses to quickly understand the usage of the operating room and the current vital signs of patients in each operation.
3. Surgical charges can be calculated independently by the anesthesia department of the operating room alone, or can be interfaced with financial related information such as HIS.
4. The information summary module contains system data docking data such as HIS, EMR, LIS, PACS, etc., and the patient's relevant examination data and medical record information can be queried at any time.
5. The instrument inventory module includes the inventory of instruments in various states before, during, and after surgery, ensuring that the instruments will not be lost or left in the patient's body.