电子病历和电子健康档案的发展与交互应用

电子病历和电子健康档案是医院信息系统重要的两个组成部分。电子健康档案是电子病历的高级形式,有着电子病历无法替代的作用。它兼容患者医疗及个人健康保健、家庭健康档案、公共卫生信息、慢性病随访记录等信息,并实现居民健康档案多档合一。它实现了不同医疗机构的信息数据交流、利用更新及交互应用;它可提高信息的使用率,是社区卫生服务的依据、全科医疗的工具,在区域卫生信息化建设中起着重要作用。

The Development and Interactive Applications in Electronic Medical Records and Electronic Health Records

The electronic medical records and the electronic health records were two important parts of the hospital information system.The electronic health records were the advanced forms of the electronic medical records,and cannot be replaced by them.Those records were combined with all kinds of the information like the patients’ medical and personal health care records,family health records,public health information,chronic disease follow-up records and so on.It achieved the ’multi range in one file’ form in the health records of the residents.Those made it possible for different medical institutions to exchange,update and interactively apply the information and data;can also improve the utilization of information.It was the basis for community health services and a good tool of general medical service as well.It played an important role in regional health information.