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目的面对医院传统病案管理模式的困境和当今社会利用病案资料的不断深入,本文引入“扫描文档格式”的概念,来理清工作思路,探讨病案管理科学的发展趋势。方法通过对病案的存储利用的三个阶段划分,解释当前医院病案信息应用现状,论证计算机扫描和存储技术在病案管理方面的可行性。结论“扫描文档格式”阶段是医院管理信息化建设中一个承上启下不容跳跃的重要阶段,“全病案数字化扫描存储检索”是医院传统病案管理模式的一次技术革新,是“以病人为中心”的医院信息系统的核心组件,有不占空间、提高工作效率、便于资源共享、相对节约人力物力财力等诸多优势。
Objective To face the dilemma of hospital traditional medical record management and the continuous use of medical records in today’s society, this paper introduces the concept of “scan document format” to clarify the work train of thought and discuss the development trend of medical record management. Methods According to the three stages of the storage and utilization of medical records, the current application of hospital medical records is explained and the feasibility of computer scanning and storage technology in case management is demonstrated. Conclusion The “scan document format” phase is an important stage in the construction of hospital management informatization that can not be leapfrogged. “Digitalized scan storage retrieval of full medical record” is a technological innovation in the traditional hospital medical record management mode and is a “patient-centered” hospital The core components of the information system, there is no space, improve work efficiency, ease of resource sharing, a relative saving manpower and material resources and many other advantages.