Document Type : Original Article
Authors
1 Associate Professor, Health Information Management, Department of Health Information Management, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 PhD, Health Information Management, Department of Health Service Management, School of Health Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran
3 Assistant Professor, Medical Informatics, Department of Health Information Management, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4 Assistant Professor, Health Information Management, Department of Health Information Management, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract
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.
Keywords
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