電子病歷系統(tǒng)建設方案

1、1XXX人民醫(yī)院人民醫(yī)院電子病子病歷系統(tǒng)建設方案方案信息科信息科2012年05月35.4.2病歷書寫時間........................................................285.4.3病歷書寫流程........................................................295.4.4病歷完整性...............................

2、...........................295.4.5三級質(zhì)控............................................................295.4.6病歷修改控制........................................................295.4.7病歷凍結(jié)..........................................

3、..................305.4.8病歷安全存儲........................................................305.4.9病歷查閱管理........................................................305.4.10診療數(shù)據(jù)的準確性控制..............................................

4、..305.5院內(nèi)會診管理系統(tǒng)........................................................315.6電子病案管理模塊........................................................315.6.1病案號管理..........................................................315.6.2病案的

5、提交、審簽、歸檔和召回........................................315.6.3病歷的網(wǎng)上查詢和監(jiān)控................................................325.6.4電子病案借閱........................................................325.6.5病案信息統(tǒng)計......................

6、..................................325.7院內(nèi)感染（傳染?。┛刂颇K..............................................325.7.1院內(nèi)感染（傳染?。┥蠄?.............................................325.7.2分類統(tǒng)計...............................................

7、.............325.8臨床路徑功能模塊........................................................335.8.1業(yè)務流程............................................................335.8.2路徑制定功能......................................................

8、..345.8.3路徑執(zhí)行功能........................................................345.8.4路徑統(tǒng)計功能........................................................345.9病人隨訪模塊............................................................345.10單病種

9、管理模塊..........................................................355.11臨床指南模塊............................................................365.12臨床科研數(shù)據(jù)分析模塊....................................................365.12.1科研項目管理....

10、....................................................365.12.2項目定義............................................................365.12.3數(shù)據(jù)查詢............................................................375.12.4數(shù)據(jù)統(tǒng)計............

11、................................................375.12.5多種樣式的輸出方式..................................................375.12.6支持多種醫(yī)學專業(yè)統(tǒng)計軟件格式........................................375.13臨床診療智能提醒.............................

12、...........................385.13.1概述................................................................385.13.2核心組件和系統(tǒng)功能..................................................385.14臨床醫(yī)療質(zhì)量評價與控制系統(tǒng).................................

13、.............405.14.1概述................................................................405.14.2醫(yī)療質(zhì)量控制........................................................415.14.3醫(yī)療質(zhì)量監(jiān)測分析系統(tǒng).............................................