基于健康体检的居民健康档案
  修订日期:2014-09-25  点此下载全文
引用本文:陈硕,韩玉梅,张静波.基于健康体检的居民健康档案[J].医学信息学杂志,2015,36(2):31-34
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陈硕,韩玉梅,张静波 北京市体检中心 
中文摘要:介绍健康体检档案的特点,研究基于健康体检的健康档案数据组织、归集方式,阐述数据项收集标准,介绍健康档案构成,包括受检者基本信息、病史信息、临床物理检查、化验检查、影像检查信息等,最后给出体检信息采集与综合管理系统架购。
中文关键词:体检  健康档案  医疗卫生信息化
 
Residents Health Records Based on Physical Examination
Abstract:The paper introduces the characteristics of physical examination records, studies the data organization and collection method of health records based on physical examination, elaborates collection standard of data elements, introduces the composition of health records, including the basic information, illness history information, clinical physical examination information, laboratory examination, imaging examination information of the subjects, in the last puts forward the architecture of examination information collection and comprehensive management systems.
keywords:Physical examination  Health records  Medical and health informatization
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