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电子病历通常包含了病人就医期间的相关就诊信息,还包括了提供的相关服务。电子病历主要的特点在于传送速度快、共享性好、存储容量大、使用方便等,但由于我国尚未规定电子病历的法律效力,使得电子病历的推广遇到瓶颈。随着医院信息化建设的不断推进,《处方管理办法》、《电子签名法》的相继颁布实施,使电子病历取得了法律环境的基础。本文主要论述了电子病历的法律意义以及电子病历中的电子签名应用问题,进而对电子病历法定问题做一些可行性探索。
Electronic medical records usually contain information about the patient’s visit to the hospital and include the services provided. The main features of electronic medical records are fast transmission speed, good sharing, large storage capacity and convenient use. However, as the legal effect of electronic medical records has not been stipulated in our country, the bottleneck of electronic medical records is encountered. With the continuous advancement of hospital information construction, “Prescription Management Measures” and “Electronic Signature Law” have been promulgated and implemented one after another, which has made electronic medical record the foundation of the legal environment. This article mainly discusses the legal meaning of electronic medical records and the application of electronic signatures in electronic medical records, and then makes some feasible exploration on the legal issues of electronic medical records.