数字化病案统一信息服务平台的建立与应用 - 中国医疗设备.pdfVIP

医院数字化 DIGITALIZED HOSPITAL 数字化病案统一信息服务平台的建立与 应用 Establishment and Application of the Unified Digital Medical Record Information Service Platform 1 1 2 [摘 要] 目的 建立统一的数字化病案信息平台，促进以患者为中心的信息资源整合与利用。方法 刘堃靖 ，张红 ，李力 1.中国中医科学院广安门医院计算机 分析当前病案数据来源，建立统一的数字化病案文档中心，对前期纸质病历利用翻拍和扫描技术 中心，北京 100053 ；2.华中科技大学 进行数字化处理；对电子病历系统、各类报告系统的电子报告等医疗记录按统一格式文档实现存 同济医学院附属同济医院 计算机中 储，最终建成患者全生命周期的数字化病案信息平台。结果 方便了医生、护士、科研人员对病案 心，湖北武汉 430030 的浏览，进一步提升了病案的信息化临床应用。结论 规范了病案管理流程，从整体上提升了病案 科服务水平。 [关键词] 数字化病案信息平台；电子病历；医院信息化 Abstract: Objective To establish a unified digital medical record information platform so as to promote the integration and utilization of patient-centered information resources. Methods Analysis of the current medical record data sources was made to establish a unified digital medical record documentation center. Digital processing technology was applied for early paper medical records, including scanning and copying, the electronic medical record system and all kinds of electronic medical record report systems were stored in the unified format for storage. As a result, a digital medical record information platform ’ contained patients whole life cycle was established. Results The platform made it easy for doctors, 1 1 nurses and researchers to browse the medical records to further enhance its informatization and clinical LIU Kun-jing , ZHANG Hong , LI Li2 application. Conclusion The platform standardized the medical record management process