病历记录

吸烟情况明确者直接调用病历记录，不明确者通过电话询问患者本人或家属。结果：调查病例184例，男性129例，女性55例，男女性别比为2.3：1。

The smoking habit of the patients was clarified from medical record , or through the telephone to the patients or to the family member . Results : We studied 184 cases , with 129 male patients and 55 females and the male and female sex ratio is 2.3:1 .

两种护理病历记录方法的比较研究

A Comparative Study on Two Ways of Holistic Nursing Records

一个制作临床病历记录的网基平台；

A Web-based Platform for Implementing Clinical Notes_full ;

方法：回顾性分析临床病历记录及相关文献。

Method : A retrospective analysis of clinical data was conducted and the related literature was reviewed .

美国在20世纪60年代开始应用电子病历记录患者信息。

America began to use electronic medical records for patient information in 60 years of the 20th century .

根据与伦敦皇家自由医院签订的协议，谷歌被允许访问获得160万患者的病历记录。

Streams came from a deal with London 's Royal Free hospital that gave Google access to 1.6 million patient records .

法医和临床医生提供的病历记录都是医学证据，但实际上临床医生的病历与法医要求有一定的距离。

Patient history supplied by judicial doctors and Clinical doctors are both medical evidence , but there are differences according to required criterions .

克伦普团队将这些参与采访的人与其自身后来的病历记录进行了比对，并检验是否有人曾在1987至2012年间咨询过糖尿病门诊或被诊断患有糖尿病。

Crump 's team matched the participants to their later medical records to see who received an outpatient or inpatient diagnosis of diabetes between 1987 and 2012 .

在一个试点项目中，退伍军人事务部休斯顿分部的研究人员设计出了“触发”查询，这是一套规则，通过计算机确认在前列腺和结肠直肠癌评估和诊断中可能有延误的病人的病历记录。

In a pilot program , researchers at the Houston VA developed ' trigger ' queries -- a set of rules -- to electronically identify medical records of patients with potential delays in prostate and colorectal cancer evaluation and diagnosis .

结果建立了一种病历记录要素与数据库电子表格联动的大肠肿瘤专科电子病历计算机管理系统，明显提高了病历资料的录入速度和质量。

Results A computer management system of electronic patient records for large intestinal tumors was created , with the linkage of the record elements and the electronic tables of the database . Both the speed and quality of patient information input were markedly enhanced .

由经过培训的专业人员采用检验测试合格的标准水银柱血压计测量血压，病历记录高血压病史和高血压的治疗情况。

The blood pressure measurements were obtained by trained professionals by use of a standardized mercury sphygmomanometer tested to be regular . Information on history of hypertension and use of antihypertensive medications was obtained by use of a national hypertension community standardization management case .

在病历中记录任何药物不良反应。

Adverse medication effects are noted in the patient 's record .

电子病历是记录有关患者健康和医护状况的终身电子信息的载体。

The CPR records the electronic information about health and illness status of patients .

1213份出院病历护理记录缺陷分析及对策

Analysis on the Errors of Nursing Records from 1213 Discharged Case Histories and Countermeasures

感染出现时对自己、患者说明，并在病历中记录下来和积极有效地处理。

Saying infection is present to yourself , the patient , and writing it in the chart aids in getting on with effective treatment .

病历资料记录了医院对患者疾病的检查、诊断和治疗的全过程。

Medical Records is a carrier of the whole medical process , recording a disease diagnosis , examination and treatment in the hospital ( through the doctor ) .

整体护理病历中PIO记录存在的问题及对策

Problems Existed in PIO Recording in Holistic Nursing Records and Its Countermeasures

归档病历中护理记录存在的问题

Problems Existed in Nursing Records of Medical History on File

浅谈中医护理病历逐日志记录

View on the Record of Nursing of Traditional Chinese Medicine in the Case History Diary

他对抗生素过敏，这在病历中有记录。

He has an allergy to antibiotic drugs , which is noted on his medical record .

每天在病历中详细记录的病程记录对于病人的评估来说非常有价值。

Detailed daily progress notes recorded in the patient 's medical record are valuable for patient assessment .

通过计算机血管图像匹配对所有患者进行身份识别，所有数据均通过病历及电子记录获得。

Patients were identified from a computerized vascular registry , and data were obtained via patient charts and the electronic medical record .

或者，如果急诊室里的医生能够立刻看到你的病历和用药记录，并且和你的医生取得联系，你觉得怎么样？

What if an emergency room doctor could instantly see your health records , the medications you are taking and communicate with your doctor ?

很多医生在病历中没有记录病人的血压，这个问题是无论哪种数据净化方法都修复不了的。

Many doctors neglect to note a patient 's blood pressure in their medical records , something that no amount of data cleaning can fix .

前言：目的：找出儿科归档病历中护理记录存在主要共同问题，针对问题提出应对方法，进一步提高护理质量。

Objective : To find out the main defects and introduce corresponding solutions in nursing records of filed medical history in department of pediatrics so as to improve the quality of nursing .

方法通过复习病历、手术记录和病理，回顾我院自1980年2月～1997年10月肢体骨肉瘤患者的引流区淋巴结转移病程、化疗情况及当时所采取的措施。

Methods The history records of patients with osteosarcoma and regional lymphatic metastasis during 1980 to 1997 were reviewed . The course of illness , the operation notes and pathologic results , and the methods of chemotherapy were analysed retrospectively .

方法对某医院2002～2004年住院病案首页、病历、病程记录、其它内容四大方面的病案质量试用模糊数学的原理、方法进行评判。

Methods By using the principle and method of vague mathematics , we judged the qualities from the front sheet , clinical records , progress notes and other contents in the medical record during 2002 to 2004 in a hospital .

可他的病历上没有治疗记录。

Yet there is no record of him seeking medical assistance .

目的探讨电子病历系统书写入院记录的效率。

Objective To explore the efficiency of writing admissions records with the electronic medical record system .

一个用于眼底普查的图象处理系统该系统设计了一种多媒体病历结构，可以记录病人的基本信息及操作信息，并以病人的多媒体病历为对象，组织系统的功能结构。

A multimedia structure has been designed for patient 's case history file , which includes the basic information of patients , the operating information during sampling and processing patient 's retinal image and the result .