摘要
病历对患者的诊疗信息有非常详细的记录,也对电子病历登记的正确选择有着关键性影响,在临床治疗中,医务人员根据病历内容就能了解患者病情变化的具体特点以及诊疗明细,这属于一套完整的反应链。因此,病历信息是否准确将直接影响到档案录入环节中的电子病历登记选择的准确性。在对病历信息管理时,医务人员务只有将患者的病情变化情况进行客观、全面、充分、连续的记录,才能保证医疗服务的高质量。据此,出于探究大数据技术在医院电子病历信息管理系统中的应用,提出合理的应用方案,为病历信息的完整性和准确提供学术上的参考帮助。
Medical records have a very detailed record of patients'diagnosis and treatment information,and also have a crucial impact on the correct selection of electronic medical record registration.In clinical treatment,medical personnel can understand the specific characteristics of patient condition changes and diagnosis and treatment details based on the content of the medical records,which belongs to a complete reaction chain.Therefore,the accuracy of medical record information will directly affect the accuracy of electronic medical record registration selection in the file entry process.When managing medical record information,medical personnel must objectively,comprehensively,fully,and continuously record the changes in the patient's condition in order to ensure the high quality of medical services.Based on this,in order to explore the application of big data technology in the hospital electronic medical record information management system,a reasonable application plan is proposed to provide academic reference assistance for the completeness and accuracy of medical record information.
作者
马春花
MA Chunhua(Ningjin County People's Hospital,Ningjin 253400,China)
出处
《数字通信世界》
2023年第5期110-112,共3页
Digital Communication World
关键词
大数据技术
电子病历
信息管理
big data technology
electronic medical records
information management