摘要
电子病历是医院信息系统建设的重要组成部分,电子病历系统构建的基础是电子病历模板,而大量创新性电子病历模板又将电子病历系统提高到崭新的高度,因此电子病历模板的设计与应用是电子病历系统建设成败的关键。本文初步探讨电子病历模板的构建及其功能扩展后的应用,明确其设计实施方案为医生确立示范病历,软件公司进行分析,双方配合完成电子病历模板制作与优化,应用过程中实现其功能性扩展,其结果总体收到事半功倍的效果。通过规范构建电子病历模板,研发实施运行其扩展功能,提高医疗服务质量。
Electronic medical record is an important part of the construction of hospital information system, the basis of the electronic medical record system construction is the electronic medical record template. And a large number of innovative electronic medical record template will improve electronic medical records system to a new height, so the design and application of electronic medical record template is the key to the success of the successful construction of the electronic medical record system. In this paper we investigated the application of electronic medical record template construction and expansion of functions, cleared the design scheme for the establishment of demonstration medical records for doctor, then analyzed by software company and both sides cooperated to complete the production and optimization of electronic medical record template, realize the functional extension of the application process and got well effect. Through the standard construction of electronic medical record template, research and carry out its extended function, the quality of medical services will he improved.
出处
《中国病案》
2014年第2期42-44,共3页
Chinese Medical Record
关键词
电子病历模板
制作流程
病历书写
功能扩展
Electronic medical records
Electronic medical record template
Production process of electronic medical record template
Application extension