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With the rapid development of medical information construction, medical record management, as an important component of hospital management, needs to keep up with the pace of the times. There are three prominent problems in traditional hospital medical record management: insufficient capacity of existing medical record warehouses; Accessing paper medical records is time-consuming and laborious; Paper medical records have no backup. In order to make the valuable information database of medical records effective, it is imperative to adopt modern management methods to strengthen medical record management. In order to reduce hospital operating costs, improve the quality of medical records, reduce the workload of medical staff, and strengthen information sharing and standardized interactive services, Huahaixin has launched a paperless medical record solution. Based on the CA platform, it integrates electronic signatures and paperless archiving of various business systems in the hospital, and relies on the production platform and interface platform to achieve fully digital medical records, thereby realizing trustworthy digital medical record archiving. Huahaixin paperless medical records are based on digitization, and inpatient medical records are connected to the paperless medical record document platform in real time through standard interfaces. During the process, the documents are verified for compliance permissions, reorganized and organized according to medical record classification, and change logs are recorded. The system supports multiple complete verification modes, and changes in medical record documents can automatically remind responsible departments for review. Each responsible department approves the review and archives it, ultimately forming a trustworthy digital medical record that can be detached from the business system. The system includes a series of operational functions such as archive revocation, seal review, and defining log records. It can also provide patients with various service modes such as window printing, WeChat appointment, and self-service printing, making it convenient for practical social purposes.