Mohr D N, Carpenter P C, Claus P L, Hagen P T, Karsell P R, Van Scoy R E
Mayo Clinic, Rochester, Minnesota, USA.
Proc Annu Symp Comput Appl Med Care. 1995:157-61.
The implementation of an electronic medical record system in any large organization is as complex a task as the design of the system. During implementation, it is necessary that health care providers using the electronic system are able to communicate with colleagues who are continuing to work with the paper record. The Mayo Clinic in Rochester, Minnesota, is well along the path to implementing an electronic medical record system. One of the key issues addressed has been the need for the electronic system to integrate with the paper record. This need to function in the dual electronic/paper environment has placed new demands on printers, required revision of some paper forms, and required the electronic system to create facsimilies of paper record forms. In addition, new security issues have been raised. Dual paper/electronic environment issues are an important challenge in the implementation of an electronic medical record.
在任何大型机构中实施电子病历系统都是一项与系统设计同样复杂的任务。在实施过程中，使用电子系统的医疗保健提供者必须能够与仍在使用纸质病历的同事进行沟通。明尼苏达州罗切斯特市的梅奥诊所已在实施电子病历系统的道路上取得了很大进展。其中一个关键问题是电子系统需要与纸质病历集成。在电子/纸质双重环境中运行的这种需求对打印机提出了新要求，需要对一些纸质表格进行修订，并要求电子系统生成纸质病历表格的传真件。此外，还出现了新的安全问题。纸质/电子双重环境问题是实施电子病历过程中的一项重要挑战。
