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目的了解美国电子病案成功普及与其立法关系和国外电子文件管理成功经验。探讨我国现阶段解决电子病案法律瓶颈问题可以采用的方法。方法纸质病案和电子病案双轨制管理方法——在满足电子病案原件形式和保存要求的前提下保存电子版本,电子病案打印并手工签名后归档。结果保证病案的法律作用,保证电子病案的实施,推进电子签名的进展。结论双轨制管理方法是纸质病案向电子病案过渡的一个必然发展阶段。
Objective To understand the popularization of electronic medical records in the United States and its legislative relationship and the successful experience of foreign electronic document management. Discuss the methods that can be used to solve the legal bottleneck problem of electronic medical records in our country at this stage. Methods Paper medical records and electronic medical records management system - to save the electronic version of electronic medical records in the form of the original and save the request, electronic medical record printing and hand-signed after filing. The results ensure the legal role of medical records, ensure the implementation of electronic medical records, and promote the progress of electronic signatures. Conclusion The two-track management approach is an inevitable stage in the transition from paper medical records to electronic medical records.