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目前,我国医院信息系统正实现从“以医院管理为中心”的管理信息系统,向“以病人为中心”的临床信息系统发展,电子病历作为临床信息系统的主要标志、核心组成部分,已经成为医院、医疗主管部门、研究机构和开发商关注的热点问题。那么,目前我国电子病历的研究和应用情况如何,建立电子病历对我们有什么影响?它的核心价值是什么?现有电子病历与理想化的电子病历还有多少差距?我们将如何缩小差距,解决实际应用中的一些难题?
At present, the hospital information system in our country is realizing the development of clinical information system from “taking the hospital management as the center ” to “patient-centered ”. The electronic medical record is the main symbol of the clinical information system. The core components Part, has become a hot issue for hospitals, medical authorities, research institutes and developers. So what is the current situation of the research and application of EHR in our country? What is the impact of EHR? What is its core value? What is the difference between EHR and ideal EHR? How can we narrow the gap, Solve some problems in practical application?