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病案借阅是病案使用的开端。近年来使用病案人员骤增,传统的借阅病案手工登记的模式已难于应付病案使用迅速发展的现状,病案借阅电子化管理为大势所趋。实现电子化,首先必须解决历年来不断升级的多套病案计算机管理软件兼容问题,建立整合统一的病案数据库。在此基础上,开发与病案计算机管理软件相整合的相应病案借阅程序。利用各医院开发的HIS系统中的病案管理子系统中原有模块的功能,进一步开发病案管理网络功能的多个子系统,建立病案流通条形码管理子系统、病案借阅与跟踪子系统、病案借阅电子化的实现,可大大提高工作效率,对于病案追踪、统计分析病案使用情况等方面都提供了方便条件,有利于开发利用病案信息资源。
The borrowing of medical records is the beginning of the use of medical records. In recent years, there has been a surge in the use of medical records. The traditional manual registration of borrowed medical records has been difficult to cope with the rapid development of the use of medical records, and the electronic management of medical records has become a general trend. In order to realize the electronicization, we must first solve the problem of computer management software compatibility of multiple sets of medical records that have been continuously upgraded over the years, and establish an integrated and unified medical record database. On this basis, we will develop a corresponding medical record borrowing program that integrates with the medical computer management software. Using the functions of the original modules in the case management subsystem in the HIS system developed by each hospital, to further develop multiple subsystems for the network management of medical record management, to establish a medical record circulation barcode management subsystem, a medical record borrowing and tracking subsystem, and a medical record borrowing electronic Implementation can greatly improve work efficiency, provide convenient conditions for the tracking of medical records, statistical analysis of the use of medical records and other aspects, and is conducive to the development and utilization of medical record information resources.