An Architectural Model for Structure of Summary Electronic Health Record

• Main Authors: Hamid Moghaddasi, Maryam Jahanbakhsh, Reza Rabiei, Farkhondeh Asadi
• Format: Article
• Language: fas
• Published: Vesnu Publications 2016-10-01
• Series: مدیریت اطلاعات سلامت
• Subjects: Structure; Electronic Health Records; Summary Electronic Health Record; Interoperability; Reference Standards
• Online Access: http://him.mui.ac.ir/index.php/him/article/view/2755
• ISSN: 1735-7853; 1735-9813

Introduction: Achieving the potential benefits of electronic health record (EHR) requires data interoperability. Interoperability of a summary record is more practical than a detailed record. Interoperability requirements include identification and development uniform and standard EHR structure. This study aimed to provide an architecture model for the summary record. Methods: This was an applied and descriptive study. In this study, EHR standards and structural models were studied. After studying the standards, a structural model was designed in accordance with the summary record and health information management. Delphi technique was also used to consult informatics experts. Results: Content analysis and descriptive statistics were respectively used for preparation of the model and its validating. A proposed model was prepared based on integration of the Continuity of Care Document (CCD), Medical Markup Language (MML) and ISO 13606 [Electronic health record extract (EHR extract)] structural models and was accepted by experts. Conclusion: It seems that merging the structural models of MML, CCD and standards of EHR extract can lead to designing a structural model for summary HER brief since these models have the potential of interoperability and mapping with each other. The designed model can also be a suitable framework for organizing and sharing the records across wide geographic area.