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“军字一号”医院信息系统在我院投入运行后,电子病案首页信息成为衡量医院管理、医疗技术水平及医疗质量的重要依据。传统的病案首页信息是由病案室的工作人员依据临床医师手工填写的病案首页内容进行录入,网络条件下的电子病案首页信息已从单机管理向网络管理转化。在“军字一号”系统中,病案首页信息由多个数据录入源协同录入,点多面广。因此,提高电子病案首页的质量,确保其准确性显得尤为重要。
After the military information system of No. 1 army was put into operation in our hospital, the information of the first page of electronic medical records has become an important basis to measure the level of hospital management, medical technology and medical quality. The traditional medical record homepage information is input by the medical staff on the first page of the medical record manually filled in by the clinician. The electronic medical record homepage information under the network condition has been transformed from stand-alone management to network management. In the “military characters on the 1st” system, the first page of medical records by a number of data entry synergies entry point wide. Therefore, it is particularly important to improve the quality of the eHR homepage and ensure its accuracy.