title: Designing and Implementation of Retina Image Drawing System and Automatic Report Generation from Retina Examinations.
abstract: BACKGROUND
  Electronic medical records as one of major parts of electronic health records is an important application of Medical Informatics. EMR includes different types of data, Graphical items being one of these data types. To this end, a standard structure for storing and recovering and finally exchanging this data type is required. In order to standardize information items in this research, UMLS standard is used. In this research, graphical information from fondues designing in retina surgery forms is used for the task of implementation.
  
  
  METHODS
  Three-layer software architecture is used for implementation of this system, which includes user interface, data base access and business logic. XML database is used for storing and exchanging of data. User interface is designed by the means of Adobe Flash. Also in the user interface for eye examinations, appropriate icons compatible with current pathologies in retina examinations are considered and UMLS codes are used for standardizations purposes.
  
  
  RESULTS
  As this project is independently implemented in Adobe Flash, it can be run in most of electronic patient records software. For evaluation purposes of this research, an EMR system for eye clinics is used. Tree structure is used for data entry and finally a text report based on the entered data will be generated. By storing graphical items in this software editing and searching in medical concepts and also comparing features will be available.
  
  
  CONCLUSIONS
  One of the data items that we encounter in various medical records is graphical data. In order to cover the patient's complete electronic medical records, the Electronic Implementation of this information is important. For this purpose, graphical items in retina surgery forms were used and finally a software application for drawing retina picture was developed. Also, XML files were used for the purpose of storing valuable medical data from the pictures, and also UMLS were applied for the standardization purpose. The developed software is currently being used in some of eye clinics in Iran.
authors.affiliation: Department of Health Information Management, Tehran University of Medical Science, Tehran, Iran.
authors.forename: Reza
authors.initials: R
authors.lastname: Safdari
authors.affiliation: Department of Health Information Management, Tehran University of Medical Science, Tehran, Iran.
authors.forename: Mehrshad
authors.initials: M
authors.lastname: Mokhtaran
authors.affiliation: Department of Health Information Management, Tehran University of Medical Science, Tehran, Iran.
authors.forename: Shahram
authors.initials: S
authors.lastname: Tahmasebian
keywords: Electronic patient records; extensible markup language; graphical information; the retina