Integrated construction and key technological considerations of inpatient paperless medical record system
10.3969/j.issn.1671-332X.2024.07.031
- VernacularTitle:面向住院的病案无纸化系统一体化建设及关键技术思考
- Author:
Yaru DONG
1
;
Haixin LI
;
Peng LI
;
Fei ZHOU
Author Information
1. 天津市肿瘤医院 天津 300060
- Keywords:
Paperless;
Electronic signature;
Integrity verification;
Inpatient medical records
- From:
Modern Hospital
2024;24(7):1108-1111
- CountryChina
- Language:Chinese
-
Abstract:
The construction of a paperless medical record system is a new stage in the development of intelligent medical record management in hospitals.The implementation of paperless medical records has significant practical significance in impro-ving medical record management,enhancing the level of medical services,and reducing healthcare operational costs.To explore the key technological issues of paperless medical record system for inpatient care,this article first provides an overview of the po-sitioning and business process of paperless medical record system in the hospital's information system.Secondly,based on the actual application of paperless medical records in our hospital,the core difficulties and application processes of key technological aspects such as trusted electronic signatures and comprehensive verification of medical record data from all dimensions are dis-cussed.Next,the integrated application effects of paperless medical records are analyzed.Finally,the key research directions and future development models of paperless medical records are discussed.
