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结构化电子病历在我院的应用
引用本文:蔡秀芳,陈文亮. 结构化电子病历在我院的应用[J]. 医疗设备信息, 2012, 0(11): 107-108
作者姓名:蔡秀芳  陈文亮
作者单位:解放军第180医院信息科,福建泉州362000
摘    要:结构化电子病历(EMR)足目前国内医院正在普及的新工作项目,是数字化医院的必备条件。医院病案室是伤病员住院信息的收集、整理、存放、提供和服务利用的重要部门。本文阐述我院全面开展普及结构化EMR的前期与初期,病案管理人员要先学好、用好、宣传好。并从中找出存在的问题以及解决问题的办法,以保障新版EMR顺利跨越磨合期。

关 键 词:结构化电子病历  数字化医院  HIS  病历模板

Application of Structured Electronic Medical Records in Our Hospital
CAI Xiu-fang,CHEN Wen-liang. Application of Structured Electronic Medical Records in Our Hospital[J]. Information of Medical Equipment, 2012, 0(11): 107-108
Authors:CAI Xiu-fang  CHEN Wen-liang
Affiliation:(Information Department, The 180^th Hospital of PLA, Quanzhou Fujian 362000, China)
Abstract:Structured electronic medical records(EMR) is a new kind of program popular in domestic hospitals at present, also the essential condition of digital hospital. Hospital record room is an important department to collect, systemize, store, offer and utilize the hospital information of the sick and wounded. This paper discusses the prophase and the initial stage of overall popularization of structured EMR in our hospital. Administrators of medical records should learn the usage method of EMR, and find existing problems and corresponding solution, to ensure that the new structured EMR could be smoothly applied.
Keywords:stmctured electronic medical records  digital hospital  hospital information system  medical records template
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