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目的探讨数字化病案特点及作用,以利广泛实行门诊病案数字化。方法通过纸质病案与数字化病案应用优劣对比,分析目前数字化病案在门诊的应用状况。结果门诊病案数字化管理系统能优化就医流程,工作效率提高5倍。结论提倡广泛实行门诊病案数字化,形成较为完整的信息库,为以后与电子病案对接、保证病案的连续性奠定坚实基础,使门诊病案资源得到充分的开发和应用。
Objective To explore the characteristics and functions of digital medical records in order to facilitate the extensive implementation of outpatient digital medical records. Methods The paper compares the pros and cons of paper medical records and digital medical records, and analyzes the current application of digital medical records in clinic. Results Outpatient medical records digital management system can optimize the medical process, work efficiency increased by 5 times. Conclusion It is advocated to digitize outpatient medical record extensively and form a complete information base so as to lay a solid foundation for future connection with electronic medical records and ensure the continuity of medical records so that outpatient medical records resources are fully developed and applied.