The medical value of electronic documents yet to be developed. The Institute of Information Management, commissioned by the small office of the Ministry of Health's information technology leadership for a professional committee review, began organizing and preparing standards for hospital information datasets at the end of 2003. This was mainly aimed at facilitating medical data exchange, sharing, and public health information technology, laying the foundation; enhancing HIS (Hospital Information System) breakpoints, in-bed medical information, primarily focusing on improving HIS service quality through a broad range of standard formulation and implementation, which will fully reflect the value and utility of hospital electronic documents and also promote the construction of hospital informatization. The legal status of electronic medical records has not been established. Electronic Patient Records (Computer-based Patient Record, referred to as CPR) serve as lifelong electronic information carriers that record patients' health and healthcare status, providing medical staff with complete, continuous documentation of patient condition changes and clinical diagnostic treatment data. Currently, paper-based medical records written by medical staff have appropriate legal effect and can serve as legal evidence, widely applied in communities, forensics, medical disputes, public criminal investigations, traffic accidents, addressing roles, social health insurance, and forensic legal credentials. As future trends in medical records development, their legal recognition and security have not been universally acknowledged.
Electronic medical records possess characteristics such as ease of governance without leaving traces, lack of uniform regulations on security, disease record ownership, and authorization scope, lacking a unified definition and no legal recognition or protection case, making it difficult to achieve universal acceptance and healthy development outside traditional practices. Implementing a set of legal systems for electronic medical records requires written signatures and storage solutions, treating electronic medical records as part of an abundant collection of more than ten documents only used as units of medical documentation. The default legal status, along with insufficient norms for seriousness and safety, restricts the development of electronic medical records.
The virtual entity value in electronic documents is often overlooked due to their intangible nature, separating the carrier of information and reflecting non-material information through logical links like T Cook and readers' currency, rationality, or virtual concepts. Files: Gang represents the virtual nature of electronic document entities, making them invisible and easy to overlook their existence value. Additionally, current management systems prioritize paper documents over electronic ones, adhering to a unified and standardized set of management standards and systems. Requirements for managing paper documents are stringent, especially when electronic documents have not been universally accepted alongside close ties between medical staff and paper files, leading to a preference for paper over electronic records in medical activities.
Electronic documents represent a trend in information technology building, not a product of daily habits, storing large amounts of medical information whose value far exceeds the information system itself. Electronic documents increasingly play an irreplaceable role compared to paper documents but lack comprehensive management standards. For instance, the life cycle custody of electronic documents is not clearly defined. Large quantities of image files from devices like MRI, CT, etc., produced massive image files mostly stored on CDs in bamboo Rong-style formats, not meeting electronic file management requirements. CD-ROM storage conditions should maintain humidity levels between 45% to 60%, temperatures between 14°C to 24°C, but these requests are often ignored, leading to damage or loss of numerous images, causing losses in medical research and development.
In hospitals, the value of electronic documents is easily overlooked, continuing to reflect usage value with the improvement of hospital information systems. Legal localization of electronic documents is indeed crucial. A deeper understanding of the importance of electronic documents is bound to promote Hospital Medical Electronic advancements and ultimately reveal their true value in the nursery circle of units: First Affiliated Hospital of Jiangxi Medical Information Management Division for Hospital Management CHINACONIEMPORARYMEHICINE29.