난임 환자의 한의전자의무기록 구조화를 위한 항목 연구

Abstract

Objectives The purpose of this study is to improve user convenience for Korean Medicine electronic charts and availability for medical data research. This study suggests contents that may be itemized and structured in electronic charts based on analysis of materials related with infertility in Korean Medicine. Methods Materials including charts from Korean Medicine clinics and hospitals, health related institutions, websites, patents, papers, text books, clinical practice guidelines were collected and analyzed. Results Through analysis of the collected material, items were selected and methods for structuralization was studied. Based on the analysis, the final format of the electronic chart was suggested. Conclusions The suggested electronic chart for infertility patients is consisted mostly of items. Therefore, the electronic chart is expected to provide the advantages of paper charts. Also, most of the items are structured which is expected to lead to improved use for medical data research.

Keywords

• paper medical chart
• electronic medical chart
• medical informatics
• infertility