Electronic Health Record (EHR) sharing - CEN 13606-1

“The electronic health record ( EHR) is evolving from its fragmented paper based origins into a federated life-time medical record. As an enabler for improved patient care, the EHR promises the right information to the right people at the right time. This promise has been hard to realise. Clinical information is complex, diverse and volumous. The EHR system of the future is likely to be a federated collection of information from a variety of electronic medical records that together paint a longitudinal and holistic picture of a patient. Care delivery service oriented electronic medical records have and continue to be difficult to implement. A shared electronic health record (SEHR) will be even more demanding. Key to the shared EHR of the future will be architecture and standards to make the exchange of EHR extracts between EHR systems possible while preserving the medico-legal integrity of the patients record.”
Article
Electronics, 1 January 2008

OpenEHR: The World’s Record

“In a world where connectivity reigns, our health information is largely still caught up in silos and, in the main, is not shareable by clinicians. Shared electronic health records (SEHRs) are increasingly needed to provide timely, comprehensive and coordinated healthcare. Over many years there have been ongoing and thorough attempts to achieve the sharing of health information in order to support the improvement of health outcomes, but this incremental approach, gradually building on previous experience, has not been wholly successful. Progress has been made; however despite enormous investment and resources, the solution has been more difficult than most ever anticipated. Healthcare provision does not seem to fit into the same kind of data sharing model that has been successful in other domains, such as banking or financial services.”
Article
Trend of IT, 23 October 2008

EFMI STC 2008 - day 1 - health records and ubiquitous computing

“In sessions addressing the general theme of ‘health records’, several speakers gave varying perspectives based in their personal experiences of using and/or developing open source health record systems.  Firstly, Rolf Englebrecht covered his experience of free and open source electronic health records. He looked first at Mycare2x (http://www.hccgmbh.com/), based on Care2x, which was developed as a supposed open source solution. Designed for hospitals with specialised units, it is adaptable to ambulatory care – the requirements are defined by user cases (scenarios). But he and colleagues encountered problems in relation to its use, and did not believe it was fully open source.”
Article
Peter, hi-blogs.info, 25 September 2008

Guest Blog: Open Source and Primary Care in the US by Timothy Cook

“Tim Cook, a vocal proponent and leader of open source in the health care IT space and owner of possibly the most impressive list of achievements in the FOSS-meets-HIT space, managed to stumble across a post I made a while back about the National Health Information Network. Even though he was apparently having a much more interesting Christmas than I was, he took the time to drop me a note which led to the guest blog below. Thanks Tim!”
Article
Jaz-Michael King, A Scanner Brightly, 28 December 2007

EHR

Thomas Beale
UCL, London, UK

Abstract:

• Intro: how does a comprehensive and interoperable EHR contribute to e-Health
• What requirements does the EHR have to meet
• Messages versus the EHR
• What current standardisation activities are contributing to achieving this vision
• What is openEHR, why open source, and who is using it
• Comparison of CEN, HL7 and openEHR
• Discussion: how should current EHR adoption programmes best utilise EHR research and standards

COFFEE BREAK

• Reasons for adopting a two-level modelling approach
• Outline of key features of an EHR Reference Model
• The wider challenges of achieving semantic interoperability - a 4-level viewpoint
• Discussion