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电子病历是指医务人员依托医疗信息系统(Hospital Information System)(后文简称“HIS”系统)将病人的在院就诊记录电子化录入、保存、归档的一种数字化病历写录形式。随着互联网+模式的开启和发展,医疗记录信息化成为趋势。本文分析的主体主要是电子打印病历,拟通过分析影响电子打印病历质量缺陷的因素,厘清相关各方权利义务,以期做好医院电子打印病历质控工作。一、医院电子病历的发展
EHR refers to a digital medical record format in which medical staff input, save and archive patients’ in-patient records electronically based on the Hospital Information System (hereinafter referred to as “HIS” system). With the opening and development of the Internet + model, medical record information becomes a trend. The main body of this article is electronic printing of medical records, intended to analyze the impact of electronic printing quality defects of the factors, to clarify the rights and obligations of all parties involved in order to do a good job in the hospital electronic printing medical records quality control work. First, the development of hospital electronic medical records