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

Uvodnik

GUIDELINES FOR THE ADVANCEMENTS OF ELECTRONIC HEALTH RECORDS

JOSIPA KERN orcid id orcid.org/0000-0002-0896-3018 ; Odbor za e-zdravlje, Akademija medicinskih znanosti Hrvatske, Zagreb, Hrvatska
BISERKA BERGMAN MARKOVIĆ orcid id orcid.org/0000-0002-3657-4001 ; Odbor za e-zdravlje, Akademija medicinskih znanosti Hrvatske; Sveučilište u Zagrebu, Medicinski fakultet, Zagreb, Hrvatska
PREDRAG PALE orcid id orcid.org/0000-0003-2171-7302 ; Odbor za e-zdravlje, Akademija medicinskih znanosti Hrvatske; Sveučilište u Zagrebu, Fakultet elektrotehnike i računarstva, Zagreb, Hrvatska
INGE HEIM orcid id orcid.org/0000-0003-4535-2512 ; Odbor za e-zdravlje, Akademija medicinskih znanosti Hrvatske, Zagreb, Hrvatska
BOŽICA TRNKA orcid id orcid.org/0000-0003-2135-7749 ; Odbor za e-zdravlje, Akademija medicinskih znanosti Hrvatske, Zagreb, Hrvatska
GORANKA RAFAJ orcid id orcid.org/0000-0001-9878-3901 ; Odbor za e-zdravlje, Akademija medicinskih znanosti Hrvatske, Zagreb ; Visoka tehnička škola Bjelovar, Stručni studij sestrinstva, Bjelovar, Hrvatska
KARMEN LONČAREK orcid id orcid.org/0000-0003-2481-5098 ; Odbor za e-zdravlje, Akademija medicinskih znanosti Hrvatske, Zagreb; Sveučilište u Rijeci, Medicinski fakultet, Rijeka, Hrvatska
KRISTINA FIŠTER orcid id orcid.org/0000-0002-5160-4694 ; Odbor za e-zdravlje, Akademija medicinskih znanosti Hrvatske; Sveučilište u Zagrebu, Medicinski fakultet, Zagreb, Hrvatska
MIROSLAV MAĐARIĆ orcid id orcid.org/0000-0001-7386-8888 ; Odbor za e-zdravlje, Akademija medicinskih znanosti Hrvatske, Zagreb, Hrvatska
ĐURO DEŽELIĆ orcid id orcid.org/0000-0002-7315-9317 ; Odbor za e-zdravlje, Akademija medicinskih znanosti Hrvatske; Sveučilište u Zagrebu, Medicinski fakultet, Zagreb, Hrvatska
VESNA ILAKOVAC orcid id orcid.org/0000-0002-2560-8800 ; Odbor za e-zdravlje, Akademija medicinskih znanosti Hrvatske, Zagreb; Sveučilište Josipa Jurja Strossmayera u Osijeku, Medicinski fakultet Osijek, Osijek, Hrvatska
MARIJAN ERCEG orcid id orcid.org/0000-0002-7720-9422 ; Odbor za e-zdravlje, Akademija medicinskih znanosti Hrvatske; Hrvatski zavod za javno zdravstvo, Zagreb, Hrvatska
IVAN PRISTAŠ orcid id orcid.org/0000-0002-6732-7943 ; Odbor za e-zdravlje, Akademija medicinskih znanosti Hrvatske; Hrvatski zavod za javno zdravstvo, Zagreb, Hrvatska
ANAMARIJA MARGAN ŠULC ; Odbor za e-zdravlje, Akademija medicinskih znanosti Hrvatske, Zagreb; Specijalistička internistička ordinacija Margan, Mali Lošinj, Hrvatska
SILVIJE VULETIĆ orcid id orcid.org/0000-0002-0620-8107 ; Odbor za e-zdravlje, Akademija medicinskih znanosti Hrvatske; Sveučilište u Zagrebu, Medicinski fakultet, Zagreb, Hrvatska

Puni tekst: hrvatski pdf 418 Kb

str. 79-92

preuzimanja: 1.809

citiraj

Sažetak

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.

Ključne riječi

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

Hrčak ID:

186101

URI

https://hrcak.srce.hr/186101

Datum izdavanja:

2.9.2017.

Podaci na drugim jezicima: hrvatski

Posjeta: 3.850 *