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规范电子病历临床使用和管理是推进医疗机构信息化建设、保障医疗质量安全的重要抓手。记者日前从国家卫生计生委获悉,为保证医患双方合法权益,4月1日起,我国将施行《电子病历应用管理规范(试行)》,电子病历的书写与存储、使用和封存等均需按相关规定进行。电子病历是指医务人员在医疗活动过程中,使用信息系统生成的文字、符号、图表、图形、数字、影像等数字化信息,并能实现存储、管理、传输和重现的医疗
To standardize the clinical use and management of electronic medical records is an important starting point for promoting the informatization of medical institutions and ensuring medical quality and safety. Recently, the reporter learned from the National Health and Family Planning Commission that starting from April 1, China will implement the “Electronic Medical Record Management Regulations (for Trial Implementation)” in order to ensure the legitimate rights and interests of both doctors and patients. Writing and storing, using and storing of electronic medical records According to the relevant provisions. Electronic medical records refer to the medical records that medical personnel use digital information such as words, symbols, diagrams, figures, figures and videos generated by the information system during medical activities and can be stored, managed, transmitted and reproduced