推行门诊电子病历的实践与思考

Practice and Thought for the Promotion of Outpatient Electronic Medical Records

通过以门诊电子病历为核心的门诊医生站实践,论述纸质门诊病历的缺点以及门诊电子病历的优势,总结在推行门诊电子病历过程中的重点和难点。同时指出在实施过程中应注意和其他信息系统的集成、数据标准化、完善管理制度、集成会诊系统等问题。

Through the practice of outpatient doctor station cored by the outpatient Electronic Medical Records（EMR）,the paper discusses the disadvantages of outpatient paper medical records and the advantages of outpatient EMR,summarizes the key points and difficulties in promoting outpatient EMR,and meanwhile points out to pay attention to the integration with other information system,data standardization,perfection of the management system,integrated consultation system and other issues in the practice process.