The "electronic medical record review" for public hospitals has arrived, with 1/6 of the assessment items related to electronic signatures. The contract lock electronic signature fully integrates the capabilities of "digital certificates, timestamps, data storage, encryption algorithms, API interfaces, etc.", and can be integrated with hospital information software to embed functions such as "identity authentication, electronic templates, electronic signatures, electronic seals, and data storage" into hospital HIS information systems, EMR electronic medical record systems, PACS imaging systems, and LIS inspection systems. Since 2019, public hospitals have been required to pass the "Electronic Medical Record Pass" in their annual performance evaluations. The National Health Commission requires all tertiary hospitals to have an electronic medical record rating of at least level 4, and secondary hospitals to have a rating of at least level 3. The "Management Measures for Grading Evaluation of Application Level of Electronic Medical Record System (Trial) and Evaluation Standards (Trial)" divides electronic medical records into nine levels of

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and 39 evaluation items , of which 1/6 of the assessment items are related to electronic signature . According to recent data released by the National Health Commission, as of 2022, the average rating of electronic medical records in China is 3.57, with tertiary hospitals basically meeting the requirement of level 4. In 2023, the electronic medical record rating of public hospitals will enter a higher level of construction. According to the assessment requirements, the construction of electronic signatures will gradually change from "optional items" to "bonus items".   Contract Lock Helps Public Hospitals with Electronic Medical Record Rating in 2023 Online Signature of Medical Staff, Electronic Signing of Medical Process Materials The National Health Commission conducts two rounds of electronic medical record rating evaluations in May, June, September, and October each year, and combines the application of electronic signatures with hospital specific information systems, which has become an important task for the upgrading and assessment of electronic medical records in many public hospitals. Contract lock Electronic signature Fully integrates the capabilities of " Digital certificate, timestamp, data storage, encryption algorithm, API interface, etc.", and can be integrated with hospital information software to embed "identity authentication, electronic template, electronic signature, electronic seal, and data storage" functions into hospital HIS information system, EMR

electronic medical record system,

PACS imaging system, and LIS inspection system. Assist the hospital information system in establishing a trustworthy identity foundation, which can provide identity authentication and legal and effective electronic signature and seal support for the entire process of daily "outpatient diagnosis and treatment, medical technology inspection, prescription and medication, surgical treatment, inpatient nursing, and discharge" work in the hospital, and promote the electronic signing and automatic archiving of medical records and materials throughout the hospital's medical service process.

Contract lock electronic medical record material electronic signature support:

• Hospital specific information system integration application : Currently, Contract lock has been integrated with many medical software vendors such as Jiahe Meikang EMR electronic medical record system, Donghua HIS system, Aisco HIS system, Jintang HIS system, Dongruan Cloud HIS system, Mancharo electronic medical record system, etc., to meet the electronic signature needs of various medical record materials in hospitals. •  Hospital Medical Record Material Form Data Signature Service

: Combining the characteristics of hospital medical record material signing, Contract Lock provides a " data signature " service for medical records, medical orders, prescriptions, nursing orders, etc. Medical staff can add, cancel, and confirm information by signing each data item, and merge and generate medical record files with electronic signatures in real time. •  Establish an authoritative and trustworthy digital identity authentication system for hospitals: Contract Lock collaborates with CA institutions across the country that have obtained licenses from the Ministry of Industry and Information Technology to provide authoritative and trustworthy identity authentication and verification services for hospital organizations.

• Electronic medical record materials are tamper proof and verifiable : Contract locks provide full process tamper proof services for hospital electronic medical records with digital certificates, automatically identifying traces of medical record material modifications, supporting online verification of medical signatures and hospital seals to prevent forgery of medical record materials. • Full stack adaptation support for Xinchuang

: Contract locks have implemented full stack adaptation for various operating systems, databases, middleware, etc., which can meet the needs of Xinchuang construction in public hospitals. Hospital electronic medical record material signing scenario Meeting the electronic signature requirements throughout the entire medical service process

Contract lock Hospital electronic medical record material signing scenario covers the entire process of hospital medical services, including various core common signing scenarios such as " Electronic medical record prescription form, medical order form, hospitalization certificate, nursing records, electronic medical record, electronic prescription, hospitalization medical order form, nursing documents, hospitalization certificate, hospitalization medical record homepage, nursing record form, nursing evaluation form, etc. .

(Electronic signature of medical service materials throughout the entire process)

↓ Please refer to the detailed scenario:

01 "Electronic medical record" signing Diagnosis and treatment , outpatient doctors record the patient's condition and diagnosis and treatment information in the EMR electronic medical record system;

Diagnosis and treatment completed

, the doctor confirms the patient's medical information and automatically retrieves the electronic signature reserved in the contract lock system to complete the signature, generate the patient's medical electronic medical record, and automatically archive and save it.

(The business system fills in patient information and automatically generates electronic medical records)

02 "Electronic Prescription" Signing Doctor's prescription is an important basis for patients to receive medication and treatment. The application of electronic prescriptions can achieve information exchange between hospital outpatient and pharmacy departments, allowing attending doctors and pharmacy doctors to collaborate online and efficiently dispense drugs: p

Pharmacy prescription review and dispensing doctor Real name authentication login to HIS system, online approval of prescription information, confirmation of dispensing, the system automatically adds the doctor's electronic signature to complete the signature. Ensure that the real name authentication operation during the prescription and medication process is recorded and traceable; The electronic prescription information is authentic and not tampered with. (Fill in prescription information in the HIS system, confirm to sign - generate electronic prescription)

03 "Medical Order Form" Sign

The medical order form is a record of the doctor's treatment plan and the basis for the nurse's execution. Whether it's a doctor issuing an order, cancelling it, changing a medical order, or a nurse reviewing and executing it, signature confirmation is required. Such files often require signing item by item and in batches, and frequent signatures are required to modify or invalidate data. Each time, the previous signing result must be invalidated first, making the process cumbersome. The "data signature function" of the contract lock allows for the signing of individual medical order data in the HIS system. When doctors log in to the HIS system, they can electronically sign every new, cancelled, or changed medical order data. Nurses can confirm the execution of medical orders and sign them electronically by opening their phones. All signed medical order data can be merged and presented in real-time according to the style of the medical order sheet, and can be queried at any time.

(Fill in the medical order information in the HIS system - confirm to sign - generate electronic medical order form with one click)

04 "Nursing form" signing

The nursing records of hospitalized patients need to be filled out and signed by nurses in real time every day. Through the application of electronic signature , nurses log in to the HIS system every day after nursing is completed to record nursing data. After confirmation, the system automatically retrieves the electronic signature reserved by the nurse in the contract lock system to complete the signature, without the need for paper documents, with full process tamper proof and traceable, ensuring the credibility of nursing data. After the patient's examination and medical technology testing are completed, the doctor logs in to the LIS testing system or PACS imaging system to fill in the testing and diagnostic data online. After confirmation, the electronic signature can be synchronized; The physician's mobile or PC system responsible for report review completes electronic signature approval and automatically generates electronic diagnostic reports in PDF format. Patients can download or print reports using mobile text messages or self-service printing devices, eliminating the hassle of manually drafting, signing, and receiving paper reports in person, and improving the efficiency of signing laboratory materials.

The national requirement for hospitals at all levels to record patients' basic information, hospitalization medical and diagnostic conditions, as well as hospitalization expenses and other information on the first page of hospitalization medical records has been signed. This type of material involves a wide range of medical data and often requires signatures from multiple parties such as attending physicians, resident physicians, chief physicians, department heads, and responsible nurses to be effective and archived. For such scenarios, after integrating the contract lock with the EMR electronic medical record system, it can provide support for signatory identity authentication, willingness verification, electronic signature, data signature, etc. for the signing of medical record front pages, realizing electronic signature in the generation, modification, archiving and signing of medical record front pages. The responsible persons of all parties can move and sign in sequence, making the whole process paperless and zero intervention.

(Fill in medical record information in EMR system - confirm to sign - generate electronic medical record homepage with one click)

Summary

Realizing the electronicization of patient medical record materials is an important part of hospital digitalization construction. The application of electronic signatures, digital identities and other technologies provides a secure and trustworthy foundation for the electronicization of medical record materials. In the future, with the high-level development of electronic medical record construction in public hospitals, the application of electronic signatures will gradually become a basic item for evaluation. The contract lock has rich experience in hospital electronic signature services, with customers covering second and third level public hospital organizations in various provinces and cities. It can provide localized consulting and solution services to hospital organizations at any time, and provide electronic signature services that comply with the requirements of the "Electronic Medical Record Application Management Specification (Trial)" and the "Electronic Signature Law". It has established an electronic signature scene that covers the entire process of hospital medical services, promotes the electronicization of hospital medical record materials, and helps to evaluate the application level of electronic medical records in second and third level hospitals nationwide. Click to enter and experience electronic signing for free now!