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电子病案是医院信息系统的核心,是计算机技术和网络技术在医疗领域应用的必然产物,是现代化医院质量管理和病案管理的必然趋势。电子病案具有信息全面与共享、归档及时、信息检索便捷等特点。本文对电子病案应用中存在的质量管理、标准化、法律效力与安全等问题进行了系统的分析,并提出了相应的解决建议。
Electronic medical record is the core of hospital information system, which is the inevitable product of the application of computer technology and network technology in medical field. It is an inevitable trend of modern hospital quality management and medical record management. Electronic medical records with a comprehensive and shared information, archiving in a timely manner, the convenience of information retrieval and so on. This paper systematically analyzes the existing problems of quality management, standardization, legal validity and security in the application of electronic medical records, and puts forward corresponding solutions.