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电子病历同时被称为计算机化的病案系统(Electronic Medical Record,EMR),卫生管理部门《电子病历基本架构与数据标准(试行)》给出的定义为电子病历是由医疗机构以电子化方式创建、保存和使用的,重点针对门诊、住院患者(或保健对象)临床诊疗和指导干预信息的数据集成系统[1]。是居民个人在医疗机构历次就诊过程中产生和被记录的完整、详细的临床信息资源。
EHR is also known as the Electronic Medical Record (EMR). The definition of EHR Basic Structure and Data Standards (Pilot) by health authorities is that electronic medical records are created electronically by medical institutions , Preserved and used data integration system [1] that focuses on clinical diagnosis and treatment intervention information of outpatients, inpatients (or health care objects). It is a complete and detailed clinical information resource produced and recorded by individual resident in medical institutions during the previous visits.