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Electronic Health Records Standards & Documents

Updated October 9, 2008

Electronic health records standards address:
  • Reservation/registration - admission, discharge and transfer (R-ADT) systems
  • Content and structure
  • Universal healthcare identifier (UHID)
  • Emergency medical health care
  • Electronic authentication
  • Coordination of clinical laboratory services
  • Electronic health record environment and networked architectures
  • Electronic healthcare record communication
  • Health informatics.

A selected list of standards is displayed below.

These standards were developed by ASTM International, British Standards Institution (BSI), Deutsches Institut für Normung e.V (DIN), Danish Standards Association (DS) and International Organization for Standardization (ISO).

2008 Standards
ISO 27799
Health informatics - Information security management in health using ISO/IEC 27002-First Edition
DIN DIN EN ISO 10781
Health informatics - HL7 Electronic health record system functional model - Release 1 - Overview (ISO/DIS 10781:2008); English version prEN ISO 10781:2008
ISO 13606-1
Health informatics - Electronic health record communication - Part 1: Reference model-FIrst Edition
DIN DIN EN ISO 21090
Health Informatics - Harmonized data types for information interchange (ISO/DIS 21090:2008); English version prEN ISO 21090:2008, only on CD-ROM
DIN DIN EN ISO 21549-6
Health informatics - Patient healthcard data - Part 6: Administrative data (ISO 21549-6:2008); English version EN ISO 21549-6:2008

Electronic Health Records Standards
ASTM E 1239
Standard Practice for Description of Reservation/Registration - Admission, Discharge, Transfer (R-ADT) Systems for Electronic Health Record (EHR) Systems
ASTM E 1384
Standard Practice for Content and Structure of the Electronic Health Record (EHR)
ASTM E 1633 REV A
Standard Specification for Coded Values Used in the Electronic Health Record
ASTM E 1714
Standard Guide for Properties of a Universal Healthcare Identifier (UHID)
ASTM E 1744
Standard Practice for View of Emergency Medical Care in the Electronic Health Record
ASTM E 1762
Standard Guide for Electronic Authentication of Health Care Information
ASTM E 1869
Standard Guide for Confidentiality, Privacy, Access, and Data Security Principles for Health Information Including Electronic Health Records
ASTM E 2118
Standard Guide for Coordination of Clinical Laboratory Services within the Electronic Health Record Environment and Networked Architectures
ASTM E 2171
Standard Practice for Rating-Scale Measures Relevant to the Electronic Health Record
ASTM E 2183
Standard Guide for XML DTD Design, Architecture and Implementation
ASTM E 2184
Standard Specification for Healthcare Document Formats
ASTM E 2211
Standard Specification for Relationship Between a Person (Consumer) and a Supplier of an Electronic Personal (Consumer) Health Record
ASTM E 2369
Standards Specification for Continuity of Care Record (CCR)
ASTM E 2473
Standard Practice for the Occupational/Environmental Health View of the Electronic Health Record
ASTM E 2538
Standard Practice for Defining and Implementing Pharmacotherapy Information Services within the Electronic Health Record (EHR) Environment and Networked Architectures
BSI DD ENV 12538
Medical Informatics - Messages for Patient Referral and Discharge
BSI DD ENV 12612
Medical Informatics - Messages for the Exchange of Healthcare Administrative Information
BSI DD ENV 13606-2
Health Informatics - Electronic Healthcare Record Communication - Part 2: Domain Term List
BSI DD ENV 13606-3
Health Informatics - Electronic Healthcare Record Communication - Part 3: Distribution Rules
BSI DD ENV 13606-4
Health Informatics - Electronic Healthcare Record Communication - Part 4: Messages for the Exchange of Information
BSI DD ISO/TS 18308
Health informatics Requirements for an electronic health record architecture
DIN ISO 10781
Health informatics - Electronic healthcare record communication - Part 1: Extended architecture; English version ENV 13606-1:2000
DIN V ENV 13606-1
Health informatics - Electronic healthcare record communication - Part 1: Extended architecture; English version ENV 13606-1:2000
DIN V ENV 13606-2
Health informatics - Electronic healthcare record communication - Part 2: Domain term list; English version ENV 13606-2:2000
DIN V ENV 13606-3
Health informatics - Electronic healthcare record communication - Part 3: Distribution rules; English version ENV 13606-3:2000
DS DS/ENV 13606-1
Health informatics - Electronic healthcare record communication - Part 1: Extended architecture
DS DS/ENV 13606-2
Health informatics - Electronic healthcare record communication - Part 2: Domain term list
DS DS/ENV 13606-3
Health informatics - Electronic healthcare record communication - Part 3: Distribution rules
DS DS/ENV 13606-4
Health informatics - Electronic healthcare record communication - Part 4: Messages for the exchange of information
DS DS/EN 13940
Health informatics - System of concepts to support continuity of care - Part 1: Basic concepts
DS DS/EN 15521
Health informatics - Categorial structure for terminologies of human anatomy
ISO 17115
Health informatics Electronic health record Definition, scope and context - First Edition
ISO TR 20514
Health informatics Electronic health record Definition, scope and context - First Edition
ISO TS 18308
Health informatics Requirements for an electronic health record architecture - First Edition

To view more standards, regulations and documents, please visit the IHS standards store.
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