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目前电子病历的法律地位还未得到认可,数字化医院制度和法制建设滞后阻碍了医院信息化建设前进的步伐。但随着《中华人民共和国电子签名法》的发布,一系列相关法规的出台,为医疗文书电子化运作,尤其是数字证书的应用创造了良好的法律环境和条件。根据《电子签名法》的相关规定,采用法规上认可的第三方数字认证方式,结合数字证书在上海市长宁区中心医院的实际应用情况,对实施过程和实施中遇到的问题及体会进行了讨论。
At present, the legal status of EHR has not yet been recognized. The lag of digital hospital system and legal system hinders the progress of hospital informatization construction. However, with the promulgation of the “Electronic Signature Law of the People’s Republic of China”, the promulgation of a series of relevant laws and regulations has created a sound legal environment and conditions for the electronic operation of medical documents, especially the application of digital certificates. According to the “Electronic Signature Law,” the relevant provisions of the use of laws and regulations approved third-party digital authentication method, combined with the digital certificate in Shanghai Changning District Central Hospital, the actual application of the implementation process and the implementation of the problems encountered and experience discuss.