摘要
分析HIS病案管理子系统,以期为医院病案管理提供可靠依据。针对当前医院病案管理中存在的问题,在病案价值和质量中应用工作流程设计和病案管理模式,在病案管理信息系统中充分利用HIS系统的信息数据,并在HIS中整合病案信息管理系统,以形成一体化的信息系统。HIS病案管理子系统包含了相关工作的各个流程和环节,实现了病历数字化归档、字典库维护、病历书写质量监控、首页在线编码病案全程示踪、病案复印登记等,在实际应用过程中可促使病案管理形成新型、科学、合理的管理控制模式,从而促使病案管理更加高效。病案管理事业的发展可依托HIS平台获得无限前景。
To discuss the HIS medical record management subsystem in order to provide a reliable basis for hospital medical record management.In view of the current problems existing in the hospital medical record management,the workflow design and medical record management mode are applied in the value and quality of medical records,the information data of HIS system is fully utilized in the medical record management information system,and the medical record information management system is integrated in HIS to form an integrated information system.The HIS medical record management subsystem includes all the processes and links of the related work,and realizes the digital filing of medical records,the maintenance of dictionary database,the quality control of medical record writing,the tracking of the whole process of medical record coding on the home page,the copying and registration of medical records,and so on.In the process of practical application,it can promote the medical record management to form a new,scientific and reasonable management and control mode,so as to promote the medical record management to be more efficient.The development of medical record management can rely on the HIS platform to obtain unlimited prospects.
作者
王凯
张岩
Wang Kai;Zhang Yan(The Second People's Hospital of Dongying City,Shandong Province,Shandong Dongying 257335;Dongcheng Hospital of Dongying City,Shandong Province,Shandong Dongying 257091)
出处
《中国社区医师》
2020年第23期185-186,共2页
Chinese Community Doctors
关键词
HIS
病案管理
子系统
应用
HIS
Medical record management
Subsystem
Application