Electronic medical record, hospital information core

With the rapid development of computer technology, high-bandwidth network communication technology and high-density storage technology, the information industry has exploded in a global scale, and the current world is undergoing a revolutionary change. Every subject in the medical industry chain has become more and more dependent on informationization, and hospitals are no exception. This informationization situation is reflected in the exploration and rapid development of the Hospital Information System (HIS). The electronic medical record is an important part of the HIS to take the lead, develop and occupy the core position. Therefore, in the "Doctor and Hospital Informatization" survey project conducted by the Medical Research Institute through medical rice research, the electronic medical record is the most intuitive mapping of doctors and hospitals, and in the final "Doctors" doctors and In the hospital information survey report, the electronic medical record has become the focus of attention without any surprise.

Like many fresh concepts, Electronic Medical Record (EMR) is also a concept of development and change. There is no unified and accepted definition of electronic medical records. The US Electronic Medical Record Organization (CPRI) and the Health Planning Commission have both defined.

We can think of electronic medical records (EMR) as digital medical records that are stored, managed, transmitted, and reproduced by electronic devices (PC, mobile, health cards, etc.), replacing handwritten paper medical records. The content of the electronic medical record (EMR) includes all the information of the medical record of the paper, and is also the original record of the whole process of the patient's diagnosis and treatment in the hospital, including the home page, the history record, the test result, the medical order, the surgical record, the nursing record, etc., and the electronic medical record is not only Refers to static medical record information, and also includes related services.

Electronic medical records in China: "urban surrounded by rural areas"

The world's first electronic medical record system was an outpatient electronic medical record system developed and put into use by the Massachusetts General Hospital in 1960.

Compared with developed countries such as Europe, America and Japan, China's electronic medical records started relatively late. In the course of more than 20 years of development, it has experienced electronic stages of paper medical records, structured electronic medical records, and complete electronic medical records. In the 1990s, various hospitals began to implement computer management on the front page of medical records. In 1995, the Ministry of Health proposed the “Jinwei Project”. The clinical and scientific research circles have carried out some partial experimental work on electronic medical records. Since 1999, they have been operating in hospitals in some cities. A few large medical institutions have used “computer-printed medical records”. Instead of handwritten medical records. In the following decade, the state's promotion of electronic medical records, a number of policies introduced, promoted the development of electronic medical records in China.

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