【摘要】 目的 实施数字化病案管理是新形势下对病案管理的一种新需求。方法 建立数字化病案管理计算机系统和配套的加工、管理、应用体系。结果 本系统对病历内容适当分类并给予标准,设计了较严格的授权方法。既方便使用,又严格病历资料管理。实现在不接触原件条件下的一般性病案使用,从而避免资料丢失,实现资料内容的权限控制,能够提供资料共享,资料的使用完整便利。结论数字化病案管理在没有建成完整的电子病历之前,是形成电子病历的一种形式。它提高了病历利用的效率,也可减轻纸张病历存储的压力。是一种实用、有效的病案管理方式。更多还原

【Abstract】 Objective The objective of digitalized patient records control is to meet some new demands set on patient records control under the new circumstances. Methods A computer system for digitalized patient records control and supporting processing, management and applications setups were established. Results The system put the contents of the patient records into various categories with difierent standards and designed relatively strict means of authorization. It rendered patient records easier to use and their control more strict, making it possible to make general use of the records without access to the original documents. As a result, data loss was avoided, authority over the data was put under control, data sharing was provided, and full and convenient use of data was realized. Conclusion Digitalized patient records control, a form of shaping computer-based patient records before the latter fully comes into being, enhances the efficiency of patient records application and reduces the pressure of paper records storage. It is a practical and effective way of controlling patient records.更多还原