信息管理是临床实践的一个重要组成部分。这些信息大多与下列内容有关:(1)每个病人的病史和临床过程;(2)诊新和治疗方案;(3)病人总体中的疾病谱;(4)卫生保健系统的作用,(5)大量贮存的已发表的知识。目前,病人与医生的交往还仅仅是个体的、手工业式的活动,其质量难以保证。临床上采集病史常常依靠的是病人不完全的记 Information management is an important part of clinical practice. Most of this information is related to: (1) the history and clinical course of each patient; (2) the diagnosis and treatment plan; (3) the spectrum of the disease in the patient population; (4) the role of the health care system, (5 ) Mass storage of published knowledge. At present, the interaction between the patient and the doctor is only an individual, handicraft-type activity, and its quality is difficult to guarantee. Clinical history often depends on the patient’s incomplete record