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Functionalities of free and open electronic health record systems

Published online by Cambridge University Press:  26 October 2010

Alejandro Enrique Flores Zuniga ,
Khin Than Win  and
Willy Susilo
Alejandro Enrique Flores Zuniga
Affiliation:
University of Wollongong and University of Talca
Khin Than Win
Affiliation:
University of Wollongong
Willy Susilo
Affiliation:
University of Wollongong
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Abstract

Objectives: The aim of this study was to examine open-source electronic health record (EHR) software to determine their level of functionalities according to the International Organization for Standardization (ISO) standards.

Methods: ISO standards were used as a guideline to determine and describe the reference architecture and functionalities of a standard electronic health record system as well the environmental context for which the software has been built. Twelve open-source EHR systems were selected and evaluated according to two-dimensional criteria based on ISO/TS 18308:2004 functional requirements and ISO/TR 20514:2005 context of the EHR system.

Results: Open EHR software programs mostly fulfill structural, procedural, evolutional, and medicolegal requirements at the minimal and full functionality levels. Communication, privacy, and security requirements are accomplished in less than 23 percent of the cases, mainly at minimal functional level. Ethical, cultural, and consumer requirements still need to be fulfilled by free and open-source EHR applications.

Conclusions: Most analyzed systems had several functional limitations. Nevertheless, especially for clinicians and decision makers in developing countries, open-source EHR systems are an option. The limited functionalities are likely to become requirements for further releases of open-source EHR systems.

Keywords

Open sourceElectronic health record systemStandard requirementsEvaluation
Type
ASSESSMENTS
Information
International Journal of Technology Assessment in Health Care , Volume 26 , Issue 4 , October 2010 , pp. 382 - 389
Copyright
Copyright © Cambridge University Press 2010

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References

REFERENCES

1. Bakker, A. Access to EHR and access control at a moment in the past: A discussion of the need and an exploration of the consequences. Int J Med Inform. 2004;73:267–270.CrossRefGoogle Scholar
2. Beale, T. Health Information Standards Manifesto. V2.5 In: Deepthought informatics; 2004.Google Scholar
3. Blobel, B. Advanced and secure architectural EHR approaches. Int J Med Inform. 2006;75:185–190.CrossRefGoogle ScholarPubMed
4. Coiera, E. A guide to health informatics. 2nd ed. London: Arnold; 2003.CrossRefGoogle Scholar
5. Hayrinena, K, Sarantoa, K, Nykanenb, P. Definition, structure, content, use and impacts of electronic health records: A review of the research literature. Int J Med Inform. 2008;77:291–304.CrossRefGoogle Scholar
6. Heard, S. Electronic health records. In: Conrick, M, ed. Health informatics: Transforming healthcare with technology. Melbourne: Thomson Social Science Press; 2006:222–332.Google Scholar
7. ISO/TC-215. Health informatics – Requirements for an electronic health record architecture. Published Standard ISO/TS 18308:2004. In: International Organization for Standardization; 2004.Google Scholar
8. ISO/TC-215. Health informatics – Electronic health record – Definition, scope, and context. Published Standard ISO/TR 20514:2005. In: International Organization for Standardization; 2005:33.Google Scholar
9. Katehakis, DG. Electronic health record. In: Akay, M, ed. Encyclopedia of biomedical engineering. New York: John Wiley & Sons; 2006:1–8.Google Scholar
10. Meystre, S, Müller, H. Open source software in the biomedical domain: Electronic health records and other useful applications. Swiss Med Inform. 2005;55:3–15.Google Scholar
11. Safran, C, Bloomrosen, M, Hammond, WE, et al. Toward a national framework for the secondary use of health data: An American medical informatics association white paper. J Am Med Inform Assoc. 2007;14:1–9.CrossRefGoogle Scholar
12. Sujansky, . Open-source EHR systems for ambulatory care: A market assessment. In. January 2008 ed. California HealthCare Foundation; 2008:1–6.Google Scholar
13. Tang, PC, Coye, MJ, Bakken, S, et al. Key capabilities of an electronic health record system: Letter report. Safety CoDSfP, , ed. Washington: Institute of Medicine of the National Academies; 2003:36.Google Scholar