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基于区域信息化建设,闵行区吴泾医院制定了结构化电子病历模版,根据触发条件自动从电子病历中采集信息,结合预警条件(地区、症状、数量)系统自动判断,实现预警。结构化电子病历的实施使病历管理完成了从简单的word文档到全结构化电子病历的质的飞跃;严重临床异常病例/事件监测系统对于现有公共卫生监测体系是一个有益的补充,在实际应用时,也是一个逐步推广、逐步熟悉、逐步发挥作用的过程,在此期间需要医疗机构医务人员、管理人员、疾病预防控制机构的紧密合作,从而最大限度地发挥其在公共卫生应急工作中的应有作用。
Based on the regional informatization construction, Wujing Hospital in Minhang District formulated a structured electronic medical record template, automatically collected information from the electronic medical records according to the triggering conditions, and combined with the pre-warning conditions (regions, symptoms and quantity) system to automatically judge and realize early warning. The implementation of structured electronic medical record has made medical records management a qualitative leap from simple word documents to fully structured electronic medical records. The serious clinical abnormal case / event monitoring system is a useful supplement to the existing public health monitoring system. In practice Application is also a gradual promotion, gradually familiar with and gradually play a role in the process, during which medical institutions need to medical staff, managers, disease prevention and control agencies to work closely together to maximize its public health emergency work Should have a role.