医疗档案又称为病案,是医务人员在诊疗过程中用各种载体所记录的临床经验的总和,是医院在日常经营活动中形成的一切具有保存、收录价值的图表、文字、音像等载体形式的原始记录。医疗档案实质上是一种有形的医院资源,它能够将医院信息与载体完美融合,并通过梳理加工形成真实可靠、逻辑连贯的医疗卫生信息。随着医疗卫生信息化建设的兴起,医疗档案的电子化已经开始逐步推进。相对于传统的纸质档案,电子档案是依托网络和信息技术形成的档案体系,它是一种利用计算机、磁盘等电子设备来记 Medical records, also known as medical records, are the sum of clinical experience recorded by various carriers in the course of medical treatment by medical staff. They are all forms of carriers such as charts, scripts, audio-visual and other forms formed and preserved by the hospital in their daily business activities The original record. Medical file is essentially a kind of physical hospital resources, which can be a perfect combination of hospital information and carrier, and through the carding process to form a true and reliable, logical and consistent medical and health information. With the rise of medical and health information construction, the electronic medical records has begun to gradually promote. Compared with the traditional paper files, electronic files are relying on the network and information technology to form the file system, which is a use of computers, disks and other electronic devices to remember