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目的探讨现代化医院历史纸质病案的存储和利用以及如何与医院信息系统对接问题。方法利用缩微数码影像扫描和计算机技术与医院信息系统结合。结果将新、旧病案首页建立统一的病案首页信息库,解决纸质病案永久保存和数字化利用问题,形成强大的病案查询、检索、阅览、打印与统计分析功能。结论实现新、旧病案信息资源共享和具有法律效力的病案永久保存。
Objective To explore the storage and utilization of historical paper medical records in modern hospitals and how to connect with hospital information systems. The method uses microfilm digital image scanning and computer technology combined with hospital information system. Results The first page of the new and old medical records was set up with a unified medical record home page database to solve the problem of permanent preservation and digitization of paper medical records and to form a powerful medical record inquiry, retrieval, reading, printing and statistical analysis functions. Conclusion The realization of new and old medical record information resources sharing and the legal record of the permanent preservation.