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目的设计出一套适合我院的数字化病案管理信息系统,全面提升其病案的服务与利用功能,提高病案管理效率。方法通过对我院病案管理现状的分析,阐述病案管理数字化的必要性;并设计出数字化病案管理系统并应用。结果数字化病案管理系统根据功能结构划分为病案示踪、首页管理、病案扫描、医疗统计四个模块,数字化病案管理系统的实际应用实现了病案首页信息利用、病案流通、医疗信息统计、病案存储等病案管理工作的数字化。结论数字化病案管理系统有效提升了医院病案的服务利用水平,提高了病案管理工作整体效率,提高了病案管理信息化水平。
Objective To design a digital medical record management information system suitable for our hospital to comprehensively enhance the service and utilization functions of medical records and improve the efficiency of medical record management. Methods Based on the analysis of the current situation of medical records management in our hospital, the necessity of digitalization of medical records management was expounded. And a digital medical record management system was designed and applied. Results The digital medical record management system was divided into four modules: medical record tracking, homepage management, medical record scanning and medical statistics according to the functional structure. The practical application of digital medical record management system realized the utilization of the first page of medical records, medical record circulation, medical information statistics and medical record storage Digitalization of case management. Conclusion The digital medical records management system effectively improves the utilization of hospital medical records, improves the overall efficiency of medical record management and improves the informatization level of medical record management.