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目前的电子病案系统中,还不能实现有用信息的快速、自由和全文检索,该文提出两点设想;第一、可以设立关键词或自由词查询,检索应包括1.疾病名称检索2.症状、体征或综合征、症候群检索、3.检验结果检索、4.辅助检查结果检索、5.所应用的药物检索6.疗效检索7.上述内容交叉检索第二、建立结构化病历摘要,使其成为进入原文前的简要浏览界面。如此会提高检索效率。
In the current electronic medical record system, fast, free and full-text retrieval of useful information can not yet be achieved. This article proposes two assumptions: first, you can set up a keyword or free word query, the search should include 1. Disease name retrieval 2. Symptoms , Signs or syndromes, syndromes, 3. Test results retrieval, 4. Auxiliary examination results search, 5. Applied drug search 6. Efficacy search 7. Cross-search the above content Second, the establishment of a structured medical summary, to make it Become a brief entry into the original browsing interface. This will improve search efficiency.