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电子病历系统的应用是医院信息化建设的核心内容,笔者运用精细化管理方法通过对某基层医院的电子病历系统提出存在问题,并完善系统的设计流程和解决问题,使电子病历系统为医院行政管理、临床研究与临床流行病学研究以及数据统计分析和医疗付款审核提供技术支持,实施适合的“以患者为中心、有利于病历质量控制、实现临床科研数据”的电子病历系统。
The application of electronic medical record system is the core content of hospital information construction. The author uses the meticulous management method to present the existing problems of the electronic medical record system in a grass-roots hospital and perfects the system design flow and solves the problems so that the electronic medical record system is the hospital administrative Management, clinical research and clinical epidemiological research as well as data statistical analysis and medical payment audit to provide technical support for the implementation of a suitable “patient-centered quality control of medical records to achieve clinical research data” electronic medical record system.