4区域卫生信息化4.1国际区域卫生信息化建设进展4.1.1在美国根据IDC报告回顾,最早的区域卫生信息化探索始于上世纪八十年代末,以社区卫生信息网络CHINs(Community Health Informa-tion Network)为主的区域级卫生信息共享探索。限于当时网络技术不成熟、缺乏支持互操作性的标准、基层医疗机构信息化程度不高、缺乏合理商 4 Regional Health Informatization 4.1 International Regional Health Informatization Progress 4.1.1 According to the IDC report in the United States, the earliest exploration of regional health informatization began in the late 1980s. The community health information network CHINs (Community Health Informa- tion) tion Network-based regional health information sharing exploration. Limited at the time immature network technology, the lack of support for interoperability standards, grass-roots medical institutions, the degree of information is not high, the lack of a reasonable