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电子病历模板的设计应用
引用本文:韩强. 电子病历模板的设计应用[J]. 中国病案, 2014, 0(2): 42-44
作者姓名:韩强
作者单位:北京安定医院信息统计科,北京市100088
摘    要:电子病历是医院信息系统建设的重要组成部分,电子病历系统构建的基础是电子病历模板,而大量创新性电子病历模板又将电子病历系统提高到崭新的高度,因此电子病历模板的设计与应用是电子病历系统建设成败的关键.本文初步探讨电子病历模板的构建及其功能扩展后的应用,明确其设计实施方案为医生确立示范病历,软件公司进行分析,双方配合完成电子病历模板制作与优化,应用过程中实现其功能性扩展,其结果总体收到事半功倍的效果.通过规范构建电子病历模板,研发实施运行其扩展功能,提高医疗服务质量.

关 键 词:电子病历模板  制作流程  病历书写  功能扩展

Design and Application of Template of Electronic Medical Records
Han Qiang. Design and Application of Template of Electronic Medical Records[J]. Chinese Medical Record, 2014, 0(2): 42-44
Authors:Han Qiang
Affiliation:Han Qiang( Department of Information Statistics, Beijing Anding Hospital, Beijing 100088, China)
Abstract:Electronic medical record is an important part of the construction of hospital information system, the basis of the electronic medical record system construction is the electronic medical record template. And a large number of innovative electronic medical record template will improve electronic medical records system to a new height, so the design and application of electronic medical record template is the key to the success of the successful construction of the electronic medical record system. In this paper we investigated the application of electronic medical record template construction and expansion of functions, cleared the design scheme for the establishment of demonstration medical records for doctor, then analyzed by software company and both sides cooperated to complete the production and optimization of electronic medical record template, realize the functional extension of the application process and got well effect. Through the standard construction of electronic medical record template, research and carry out its extended function, the quality of medical services will he improved.
Keywords:Electronic medical records  Electronic medical record template  Production process of electronic medical record template  Application extension
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