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EHR requirements.

David Lloyd1, Dipak Kalra

  • 1CHIME--Center for Health Informatics and Multiprofessional Education, University College London, UK. d.lloyd@chime.ucl.ac.uk

Studies in Health Technology and Informatics
|April 6, 2004
PubMed
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ISO 18308 outlines essential requirements for Electronic Health Records (EHRs), ensuring they are communicable, complete, and legally sound. This standard details functional, ethical, legal, security, clinical, and technical aspects for effective health record management.

Area of Science:

  • Health Informatics
  • Information Science

Background:

  • Published requirements for Electronic Health Records (EHRs) are primarily found in ISO 18308.
  • These requirements define essential features for EHRs to be communicable, complete, and maintain integrity across systems, time, and borders.
  • EHRs must serve as effective ethico-legal records of care.

Purpose of the Study:

  • To present the published requirements for Electronic Health Records (EHRs) based on ISO 18308.
  • To describe the main logical building blocks of an EHR using CEN TC251 ENV13606 terminology.
  • To provide examples of attribute placement and a worked example for a request-report cycle.

Main Methods:

  • Review and synthesis of ISO 18308 requirements.
  • Description of EHR logical building blocks based on CEN TC251 ENV13606.

Related Experiment Videos

  • Illustrative examples of attribute placement and a practical application for an imaging investigation.

    • Main Results:

    • ISO 18308 requirements are categorized into four themes: functional, ethical/legal/security, clinical, and technical.
    • EHR logical building blocks are defined using CEN TC251 ENV13606 terminology.
    • Examples demonstrate how to satisfy requirements at the building block level, including a request-report cycle for imaging.

    Conclusions:

    • ISO 18308 provides a comprehensive framework for EHR requirements.
    • Understanding EHR building blocks and attribute placement is crucial for effective implementation.
    • The described methodology facilitates the creation of communicable, complete, and secure EHR systems.