基于标准化术语的胸外科结构化电子病历实践

Application of Thoracic Surgery Structured Electronic Medical Record Based on Standard Vocabulary

电子病历作为现代化医院信息化建设中的重要载体,越来越往精细化、智能化方向发展。本文就胸外科标准化、结构化电子病历系统进行介绍,并提出效果评价和展望。

As an important carrier in the information construction of modern hospitals, electronic medical record is becoming more and more refined and intelligent. This paper introduces the standardized and structured elec- tronic medical record system of thoracic surgecal department and puts forward the effect evaluation and prospect.