title: Establishment of electronic chart-based stroke registry system in a medical system in Taiwan.
abstract: To establish a prospective, real-time, self-sustainable stroke registry system, we incorporated a registry with an electronic chart to create an electronic chart-based stroke registry system in November 2006. The International Classification of Diseases Ninth Revision code (430-437) was used to auto-enroll stroke patients admitted to neurology departments. Clinical information was written by doctors, nursing information was recorded by nurses, and basic patient information was entered by administrative departments. Numerical data and the date and time of any studies were auto-downloaded from the hospital computer. In total, 212 items were auto-downloaded, including basic patient information, laboratory blood test and examination results, and the date and time of imaging and special intervention. The stroke scales (121 items, National Institutes of Health Stroke Scale, Barthel index, and modified Rankin scale) were designed to be auto-adjusted to reduce incompatibility. The 95 items with pull-down options were used to specify the contents. This registry system can be time-, labor- and money-saving with secured data accuracy.
authors.affiliation: Stroke Center and Department of Neurology, Linkou Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan. thlee@adm.cgmh.org.tw
authors.forename: Tsong-Hai
authors.initials: TH
authors.lastname: Lee
authors.forename: Chien-Hung
authors.initials: CH
authors.lastname: Chang
authors.forename: Yeu-Jhy
authors.initials: YJ
authors.lastname: Chang
authors.forename: Ku-Chou
authors.initials: KC
authors.lastname: Chang
authors.forename: Jacky
authors.initials: J
authors.lastname: Chung
mesh_terms: D057286:Electronic Health Records; D006801:Humans; D008498:Medical Record Linkage; D012042:Registries / Q000706:statistics & numerical data*; D020521:Stroke / Q000145:classification* / Q000453:epidemiology*; D013624:Taiwan / Q000453:epidemiology