电子病案与纸质病案功能等同的可行性探讨  

A Feasibility Discussion on Electronic Medical Records and Paper Medical Records Function Equivalence

作　　者：戴娟[1] 徐渊洪[1] 

机构地区：[1]江苏省无锡市第四人民医院,无锡市214062

出　　处：《中国病案》2011年第1期38-40,共3页Chinese Medical Record

摘　　要：目的探讨纸质病案信息形成合法性的基础及特性,以明确电子病案的合法性。方法对纸质病案和电子病案功能等同相关因素进行对比分析,找出共性与特性。结果依据现行法律、法规,同时通过对电子病案信息形成过程进行严格控制和管理,可有效夯实电子病案应用的合法性基础。结论实现无纸化的电子病案是完全有可能的。Objective a discussion on the basis and characteristic legitimacy of paper medical records for electronic medical records legitimacy definition. Methods to comparatively analyze the related factors of paper medical records and electronic medical records function equivalence for finding out generality and characteristic.Results according to current law and regulations,it strictly control and manage electronic medical records information during their forming process which can effectively tamp the legitimacy basis of electronic medical records application.Conclusion it is fully possible to achieve non-paper electronic medical records.

关 键 词：电子病案 纸质病案 功能等同 可行性 

分 类 号：R-051[医药卫生]