电子病历系统在医院信息管理系统中应用初探

电子病历系统是通过计算机等电子设备为载体,对医院患者的诊疗活动进行数字化记录的软件。电子病历中详细记录了医嘱、病程、过敏史、影像检查结果、出院记录等多项医疗数据。电子病历完整、系统、科学地记录了患者身体健康情况以及历次就诊记录,通过一个维度将患者内部不同层次的信息有机的联系在一起。与传统的纸张病历相比,电子病历可以迅速实现不同时间、不同医院医疗信息的高效整合以及信息共享,为临床诊疗提供大量科学准确的信息,大大提高医院的服务效率。本文通过电子病历系统在医院信息管理系统中的应用情况进行简要分析,以期提高电子病历系统在临床中解决实际医疗问题的能力。

Application of Electronic Medical Record System in Hospital Information Management System

ABSTRACT: Electronic medical record system is a software that records the medical activities of patients in hospital by computer and other electronic equipment. Electronic medical records note the doctor''s advice, course of disease, allergic history, imaging findings,discharge records and other medical data. Electronic medical records can record the physical health and previous medical records of pa- tient completely, systematically and scientifically, and the different levels information of the patient is linked organically through the elec- tronic medical record system. Compared with the traditional paper medical records, electronic medical records can quickly achieve the ef- ficient integration of medical information and information sharing at different time and different hospitals, so as to provide a large number of scientific and accurate information for clinical diagnosis and treatment, greatly improve the efficiency of hospital services. This article analyzes the application of electronic medical record system in hospital information management system, in order to improve the ability of electronic medical record system to solve practical medical problems in clinical practice.