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医疗记录的形式已有二千多年的历史,病案管理也变得越来越重要。在我们国家的医院中,广泛使用的是纸质病案,只有少数的几家医院开始实施病历计算机管理,以这种电子病历记录病人信息和简单的医疗信息,这样便可以通过计算机检索和统计,但是经过分析发现,在使用的过程中,我们发现了一些较为复杂和匪夷所思的现在。随着现代电子技术的飞速发展,计算机网络的普及应用,电子病案管理必将是医院信息化建设的重要手段,数字化管理也必将成为医院信息化发展的必然趋势。在本文中,对病案管理中的主动服务存在的问题与发展趋势进行了探讨,因此本文具有很强的现实意义。
Medical records have been in the form of more than two thousand years of history and medical records management has become more and more important. Among hospitals in our country, paper medical records are widely used. Only a few hospitals are beginning to implement computerized medical record management. Patient information and simple medical information are recorded in such electronic medical records so that they can be retrieved and counted by computer. However, after analysis, we found some more complicated and incredible present in the process of using. With the rapid development of modern electronic technology, the popularization and application of computer network, electronic medical records management will certainly be an important means of hospital information construction, digital management will inevitably become the inevitable trend of the development of hospital information. In this paper, the existing problems and development trend of active service in medical record management are discussed, so this article has strong practical significance.