The SARS-CoV-2 pandemic has challenged healthcare systems worldwide. Uncertainty of transmission, limitations of physical healthcare system infrastructure and supplies as well as workforce shortages require dynamic adaption of resource deployment to manage rapidly evolving care demands, ideally based on real time data for the entire population. Moreover, shut down of traditional face-to-face care infrastructure requires rapid deployment of virtual health care options to avoid collapse of health organizations. The Alberta Electronic Health Record Information System is one of the largest population based comprehensive electronic medical record (EMR) installations. Alberta’s long standing solid telehealth hardware-, training-, provider remuneration- and legislation infrastructure has enabled quick transition to virtual healthcare. Virtual health services including asynchronous secure clinical communications, real-time virtual care via messaging, telephony or video conferencing (telehealth) and ancillary functions like triage, scheduling, documentation and reporting, the previously established virtual hospital program with home monitoring, virtual health assessments, medication review, education and support for patients and families and coordination between family doctors, specialists and other health team members help to control viral transmission, protect healthcare personnel and save supplies. Moreover, rapid launch of online screening and triage tools to guide testing and isolation, online result sharing, infected patient and contact tracing including a smartphone exposure tracking application (ABTraceTogether), electronic best practice alerts and decision support tools, test and treatment order sets for standardized COVID-19 management, continuous access to population level real-time data to inform healthcare provider, public health and government decisions have become key factors in the management of a global crisis in Alberta.

中文翻译：

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COVID-19 应对中的数字优势：加拿大最大的综合数字化医疗保健系统的视角。

SARS-CoV-2 大流行给全世界的医疗保健系统带来了挑战。传播的不确定性、实体医疗保健系统基础设施和供应的限制以及劳动力短缺，需要动态调整资源部署，以管理快速变化的护理需求，最好是基于整个人口的实时数据。此外，传统面对面护理基础设施的关闭需要快速部署虚拟医疗保健选项，以避免卫生组织崩溃。艾伯塔省电子健康记录信息系统是最大的基于人口的综合电子病历 (EMR) 装置之一。艾伯塔省长期稳定的远程医疗硬件、培训、提供商薪酬和立法基础设施使得能够快速过渡到虚拟医疗保健。虚拟医疗服务包括异步安全临床通信、通过消息传递、电话或视频会议（远程医疗）进行的实时虚拟护理以及分诊、调度、文档和报告等辅助功能，之前建立的具有家庭监控功能的虚拟医院计划、虚拟健康评估、药物审查、对患者和家属的教育和支持以及家庭医生、专家和其他卫生团队成员之间的协调有助于控制病毒传播、保护医护人员并节省物资。此外，快速启动在线筛查和分诊工具以指导检测和隔离、在线结果共享、受感染患者和接触者追踪，包括智能手机暴露追踪应用程序（ABTraceTogether）、电子最佳实践警报和决策支持工具、测试和治疗订单集标准化的 COVID-19 管理、持续获取人口水平的实时数据以告知医疗保健提供者、公共卫生和政府决策已成为艾伯塔省管理全球危机的关键因素。