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妇产科电子病历系统的特殊要求。

Special requirements of electronic medical record systems in obstetrics and gynecology.

机构信息

From Physician Technology Services, Nashville, Tennessee; and the Department of Health Economics and Fellowship Activities, the American Congress of Obstetricians and Gynecologists, Washington, DC.

出版信息

Obstet Gynecol. 2010 Jul;116(1):140-143. doi: 10.1097/AOG.0b013e3181e1328c.

DOI:10.1097/AOG.0b013e3181e1328c
PMID:20567180
Abstract

There is growing recognition of the importance and potential benefit of information technology and electronic medical records in providing quality care for women. Incorporation of obstetrician-gynecologist-specific requirements by electronic medical record vendors is essential to achieve appropriate electronic medical record functionality for obstetrician-gynecologists. Obstetricians and gynecologists record and document patient care in ways that are unique to medicine. Current electronic medical record systems are often limited in their usefulness for the practice of obstetrics and gynecology because of the absence of obstetrician-gynecologist specialty-specific requirements and functions. The Certification Commission on Health Information Technology is currently the only federally recognized body for certification of electronic medical record systems. As Certification Commission on Health Information Technology expands the certification criteria for electronic medical records, the special requirements identified in this report will be used as a framework for developing obstetrician-gynecologist specialty-specific criteria to be incorporated into the Certification Commission on Health Information Technology endorsement for electronic medical records used by obstetrician-gynecologists.

摘要

越来越多的人认识到信息技术和电子病历在为女性提供优质护理方面的重要性和潜在益处。电子病历供应商纳入妇产科医生的具体要求对于实现妇产科医生适当的电子病历功能至关重要。妇产科医生以独特的方式记录和记录患者的护理情况。由于缺乏妇产科医生的专业特定要求和功能,当前的电子病历系统在妇产科实践中的使用往往受到限制。认证卫生信息技术委员会是目前唯一获得联邦认可的电子病历系统认证机构。随着认证卫生信息技术委员会扩大电子病历的认证标准,本报告中确定的特殊要求将被用作制定妇产科医生专业特定标准的框架,以纳入认证卫生信息技术委员会对妇产科医生使用的电子病历的认可。

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