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The construction plan for Level 4 electronic medical records in hospitals mainly includes the following aspects: system software requirements: including self-service check-in, dialysis management, patient management, cost management, inventory management, bed scheduling management, equipment management, statistical analysis, interface design, dialysis machine online, mobile healthcare, quality control, health education, small tools, system management, reports, etc. These requirements cover multiple aspects, from patient check-in, treatment data management, expense recording, inventory control, bed scheduling optimization, equipment maintenance to data statistics and report generation, aiming to improve the management efficiency and medical service quality of hospitals. Background and Objectives of Construction: With the advancement of healthcare system reform, electronic medical records have become an important part of hospital informationization construction. The construction goals include achieving information sharing throughout the hospital, providing primary medical decision support, meeting hospital management service requirements, improving clinical management quality, enhancing the overall medical level of the hospital, improving work efficiency, enhancing medical quality, ensuring medical safety, and standardizing medical behavior. Project requirement analysis: including overall level analysis of hospital informatization, requirement analysis of level four electronic medical record rating, and requirement analysis for improving hospital medical quality. This involves optimizing patient-centered service processes, closed-loop management of medical orders centered on medical quality, and clinical decision support. Implementation details: including benchmarking and transformation of outpatient information systems, such as outpatient registration systems, billing systems, triage systems, dispensing systems, etc., which need to synchronize and upgrade data structures in accordance with the Level 4 standard requirements of electronic medical records, and connect to the hospital information platform to achieve interconnectivity and sharing of information data. The construction plan for Level 4 electronic medical records in hospitals is a comprehensive project aimed at improving the management efficiency and service quality of hospitals through information technology, ensuring medical safety, optimizing medical service processes, and enhancing patient satisfaction.