摘要
目的探讨电子病案平台下医院残情鉴定的工作思路。方法分析电子病案给医院残情鉴定工作带来的利与弊,利用电子病案平台开展残情鉴定工作的做法与体会。结果依靠电子病案平台,可建立残情预测机制、设立残情鉴定资料便携性存储及检索、开展残情调查研究。同时,要维护电子病案资料的真实性与完整性。结论电子病案平台对医院残情鉴定工作有较好的促进作用。
Objective to investigate the thinking of disability identification in the hospital under electronic medical record platform. Methods In the first place, electronic medical record brings the advantages and disadvantages for disability identification were analyzed. Then, measures on making disability identification by electronic medical record were suggested and its experiences were shared. Results based on electronic medical record platform, we can set up calculated mechanism and portable storage and searching of identity materials of the disability and perform survey Of the disability situation of patients. Meanwhile, we must maintain truthfulness and completeness of electronic medical record. Conclusion Electronic medical record platform may improve disability identification in the hospital.
出处
《中国病案》
2009年第4期27-28,共2页
Chinese Medical Record
关键词
电子病案
残情鉴定
思考
electronic medical record
disability identification
thinking