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Electronic health record standards.

D Kalra1

  • 1CHIME, University Colege London, London, United Kingdom. d.kalra@chime.ucl.ac.uk

Yearbook of Medical Informatics
|October 20, 2006
PubMed
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International efforts are underway to standardize electronic health record (EHR) information exchange. While a European standard shows promise, further research is needed for full EHR interoperability.

Area of Science:

  • Health Informatics
  • Information Standards

Background:

  • Review of clinical and ethico-legal requirements for EHR data representation and communication.
  • Analysis of EU-funded Health Telematics projects over thirteen years.

Purpose of the Study:

  • To provide an overview of international initiatives for developing Electronic Health Record (EHR) information exchange standards.
  • To summarize key concepts underpinning EHR information and knowledge models.

Main Methods:

  • Literature review focusing on European EHR data standards development.
  • Examination of clinical, ethico-legal requirements, and research background.
  • Summary of major concepts from information and knowledge models.

Main Results:

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  • European Committee for Normalisation (CEN) is a primary focus for EHR communication standardization.
  • Outline of major constructs within the CEN 13606 model.
  • Summary of complementary standardization activities in ISO and HL7.

    • Conclusions:

    • A generic EHR interoperability standard is likely achievable at European and potentially international levels.
    • Challenges remain in standardizing the preservation of clinical meaning across heterogeneous systems.
    • Further research and empirical projects are necessary to address remaining EHR interoperability challenges.