Shen Yun, Yu Jiamin, Zhou Jian, Hu Gang
Chronic Disease Epidemiology, Population and Public Health, Pennington Biomedical Research Center, Baton Rouge, LA, United States.
Department of Endocrinology and Metabolism, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
J Med Internet Res. 2025 Jan 9;27:e59024. doi: 10.2196/59024.
Electronic health records (EHRs) facilitate the accessibility and sharing of patient data among various health care providers, contributing to more coordinated and efficient care.
This study aimed to summarize the evolution of secondary use of EHRs and their interoperability in medical research over the past 25 years.
We conducted an extensive literature search in the PubMed, Scopus, and Web of Science databases using the keywords Electronic health record and Electronic medical record in the title or abstract and Medical research in all fields from 2000 to 2024. Specific terms were applied to different time periods.
The review yielded 2212 studies, all of which were then screened and processed in a structured manner. Of these 2212 studies, 2102 (93.03%) were included in the review analysis, of which 1079 (51.33%) studies were from 2000 to 2009, 582 (27.69%) were from 2010 to 2019, 251 (11.94%) were from 2020 to 2023, and 190 (9.04%) were from 2024.
The evolution of EHRs marks an important milestone in health care's journey toward integrating technology and medicine. From early documentation practices to the sophisticated use of artificial intelligence and big data analytics today, EHRs have become central to improving patient care, enhancing public health surveillance, and advancing medical research.
电子健康记录（EHRs）促进了患者数据在不同医疗服务提供者之间的可获取性和共享，有助于实现更协调、高效的医疗服务。
本研究旨在总结过去25年电子健康记录的二次使用及其在医学研究中的互操作性的发展历程。
我们在PubMed、Scopus和Web of Science数据库中进行了广泛的文献检索，使用标题或摘要中的关键词“电子健康记录”和“电子病历”以及2000年至2024年所有领域的“医学研究”。针对不同时间段应用了特定术语。
该综述共检索到2212项研究，随后对所有研究进行了结构化筛选和处理。在这2212项研究中，2102项（93.03%）被纳入综述分析，其中1079项（51.33%）研究来自2000年至2009年，582项（27.69%）来自2010年至2019年，251项（11.94%）来自2020年至2023年，190项（9.04%）来自2024年。
电子健康记录的发展是医疗保健领域技术与医学融合进程中的一个重要里程碑。从早期的文档记录实践到如今人工智能和大数据分析的复杂应用，电子健康记录已成为改善患者护理、加强公共卫生监测和推进医学研究的核心。
