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Step towards Paper Free Hospital through Electronic Health Record

机译：通过电子健康记录迈向纸免费医院

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摘要

Information technology has great potential for transforming the health care system, improving quality of care. With the increasing expansion of health information systems, the Electronic Health Record (EHR) has become one of the finest sources for clinical information aggregators in the context of digital health. The EHR is a core part of a hospital information system, as well as a service on duty of the patient to improve the treatment of patients. It can be considered as a longitudinal electronic record of patient heath information, for example vital signs, medical history or laboratory data, generated by one or more encounters in any care delivery setting. As the EHR offers many potential opportunities for healthcare systems, it is important to take steps to improve the system. With this in mind, a study of the features present on a Portuguese EHR was made. The basis of this study was an adoption model that evaluates the EHR system accordingly to its current features. After this study, the EHR will be ranked into one of the existing eight stages.
机译：信息技术具有改变医疗保健系统的巨大潜力，提高护理质量。随着卫生信息系统的扩展越来越大，电子健康记录（EHR）已成为数字健康背景下的临床信息聚集器的最佳来源之一。 EHR是医院信息系统的核心部分，以及患者的责任的服务，以改善患者的治疗方法。它可以被认为是患者Heath信息的纵向电子记录，例如在任何护理递送设置中由一个或多个遭遇产生的生命体征，病史或实验室数据。由于EHR为医疗保健系统提供了许多潜在的机会，因此采取措施改进系统。考虑到这一点，制造了对葡萄牙EHR上存在的特征的研究。本研究的基础是一种采用模型，可根据其目前的特征评估EHR系统。在这项研究之后，EHR将被排名为现有的八个阶段之一。

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