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Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, Vol. 71 No. 2, 2017.

Editorial

GUIDELINES FOR THE ADVANCEMENTS OF ELECTRONIC HEALTH RECORDS

JOSIPA KERN orcid id orcid.org/0000-0002-0896-3018 ; Committee for e-Health, Croatian Academy of Medical Science, Zagreb, Croatia
BISERKA BERGMAN MARKOVIĆ orcid id orcid.org/0000-0002-3657-4001 ; Committee for e-Health, Croatian Academy of Medical Science; University of Zagreb, School of Medicine, Zagreb, Croatia
PREDRAG PALE orcid id orcid.org/0000-0003-2171-7302 ; Committee for e-Health, Croatian Academy of Medical Science; University of Zagreb, Faculty of Electrical Engineering and Computing, Zagreb, Croatia
INGE HEIM orcid id orcid.org/0000-0003-4535-2512 ; Committee for e-Health, Croatian Academy of Medical Science, Zagreb, Croatia
BOŽICA TRNKA orcid id orcid.org/0000-0003-2135-7749 ; Committee for e-Health, Croatian Academy of Medical Science, Zagreb, Croatia
GORANKA RAFAJ orcid id orcid.org/0000-0001-9878-3901 ; Committee for e-Health, Croatian Academy of Medical Science, Zagreb; Technical College Bjelovar, Study in Nursing, Bjelovar, Croatia
KARMEN LONČAREK orcid id orcid.org/0000-0003-2481-5098 ; Committee for e-Health, Croatian Academy of Medical Science, Zagreb; University of Rijeka, Faculty of Medicine, Rijeka, Croatia
KRISTINA FIŠTER orcid id orcid.org/0000-0002-5160-4694 ; Committee for e-Health, Croatian Academy of Medical Science; University of Zagreb, School of Medicine, Zagreb, Croatia
MIROSLAV MAĐARIĆ orcid id orcid.org/0000-0001-7386-8888 ; Committee for e-Health, Croatian Academy of Medical Science, Zagreb, Croatia
ĐURO DEŽELIĆ orcid id orcid.org/0000-0002-7315-9317 ; Committee for e-Health, Croatian Academy of Medical Science; University of Zagreb, School of Medicine, Zagreb, Croatia
VESNA ILAKOVAC orcid id orcid.org/0000-0002-2560-8800 ; Committee for e-Health, Croatian Academy of Medical Science, Zagreb; Josip Juraj Strossmayer University of Osijek, Faculty of Medicine, Osijek, Croatia
MARIJAN ERCEG orcid id orcid.org/0000-0002-7720-9422 ; Committee for e-Health, Croatian Academy of Medical Science; Croatian Institute of Public Health, Zagreb, Croatia
IVAN PRISTAŠ orcid id orcid.org/0000-0002-6732-7943 ; Committee for e-Health, Croatian Academy of Medical Science; Croatian Institute of Public Health, Zagreb, Croatia
ANAMARIJA MARGAN ŠULC ; Committee for e-Health, Croatian Academy of Medical Science, Zagreb; Internal Medicine Office, Mali Lošinj; Croatia
SILVIJE VULETIĆ orcid id orcid.org/0000-0002-0620-8107 ; Committee for e-Health, Croatian Academy of Medical Science; University of Zagreb, School of Medicine, Zagreb, Croatia

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Abstract

The course of action to build electronic health records able to meet health stakeholder needs is described. The electronic health record system should contribute to improvement of service for all healthcare users by supporting daily work of healthcare professionals and enabling continuous quality improvement at all healthcare levels. The electronic health record (EHR), electronic medical record (EMR) and electronic personal health record (EpHR) have been defi ned; every healthcare user should have one EHR, one EpHR and several EMRs. The EHR parts, i.e. EMRs and EpHR, should not be kept at the same place physically, but they must be linked together (by use of identifi cation attributes of the healthcare user and certain authentication rules). Particular EMRs contain data collected at healthcare settings (primary healthcare, specialistconsultant health care, hospitals, public health settings, etc.) by health professionals. These data can be entered directly or by transfer from medical devices producing them. The EpHR contains data collected and maintained by the healthcare user. They can be entered directly or transmitted from the devices producing them. The EHR data should be made accessible to authorized persons only. Data protection in EHR should be provided through technical, regulatory and ethical codes, in line with international initiatives (certifi cation, EU regulations, standards, etc.). The EHR and its components should be used for both primary and secondary purpose. Primary use of EHR data refers to individual subjects (diagnosis, therapy, vaccination, etc.). Secondary use refers to population groups (reporting health status of the population, quality of healthcare, effects of preventive activities, funding, and research). The EHR data (structured or not) should be defi ned by associations of health professionals. The ICT professionals should be able to fi nd appropriate technological solutions. The EHR development strategy, as well as surveillance (medical, legal, technical and ethical points of view, as well as standardization) should be delegated to an institution at the national level. The EHR (EMR and EpHR) should be deployed in phases, step by step, depending on the current knowledge, technology, and material resources.

Keywords

electronic health record; electronic medical record; electronic personal health record; primary/secondary use of data

Hrčak ID:

186101

URI

https://hrcak.srce.hr/186101

Publication date:

2.9.2017.

Article data in other languages: croatian

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