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随着现代医学的发展及电脑的广泛应用,计算机病案管理以其高效安全、共享资源、减少污染、标准规范等优势在突如其来的SARS之后越来越受到专家学者的关注。癌症是一种特殊类型的慢性疾病,健全的临床信息资料尤为重要。2004年以来我院19个科室相继实施了计算机病历系统,通过对电子病案的功能设计,实现了病历文档的结构化,并取得了初步成效,发现电子病案有着广阔的前景及应用价值。
With the development of modern medicine and the wide application of computers, computer medical record management has drawn more and more attention from experts and scholars due to its advantages of high efficiency and safety, resource sharing, pollution reduction and standardization. Cancer is a special type of chronic disease and sound clinical information is of particular importance. Since 2004, 19 departments of our hospital have successively implemented the computerized medical record system. Through the functional design of the electronic medical record, the medical record document has been structured and achieved initial results. It is found that the electronic medical record has broad prospects and application value.