电子病案是数字化医院的核心。目前我国医院电子病案的建没在门诊医师工作站,住院医师工作站,病区护士工作站检查信息系统,医学影像处理系统等方面取得了不同程度的进展。同时应用中也采取了一些新的技术手段,解决一些电子病案法律和认证问题。但是还缺乏电子病案标准化,资金和人才,缺乏管理规范等因素影响电子病案的发展。 Electronic medical record is the core of digital hospital. At present, the construction of hospital electronic medical record in our country has not achieved much progress in outpatient clinic workstation, resident workstation, ward workstation check information system and medical image processing system. At the same time the application also adopted some new technical means to solve some electronic medical record law and certification issues. However, the lack of standardization of electronic medical record, funds and talents and the lack of management norms and other factors affect the development of electronic medical records.