Hi.

Our EHR Center in South Korea has researched standard EHR(and partly EHR 
system) for 1 year. so I think first thing you have to is Standard & related 
documents review.

1) ISO 
ISO TS 18308 and 20514 (actually result from EU's effort (see below))

2) EU's effort (GEHR, CEN, openEHR)

GEHR's deliverables about EHR requirements is very useful.
CEN's 13606 and HISA...
openEHR's information model, archetype model, service model

Incidentally Dr. Dipak's(openEHR member) PhD thesis is also good ^^;

3) US' effort (IOM, HL7...)
IOM's books and reports help me recognize the reason why EHR is needed 
(maily conceptual ideas)
HL7's message standard is useful like you who already have local EMR system.

also need to experience many EMR(EHR) systems in other countries.

but finally i think, if you can make a new EMR system, then EU's efforts is 
very helpful. but if you can't, after comparing functionalities of between 
your EMR system and HL7(or anything) EHR system, you upgade your EMR system 
(former is my concern but latter is working in our center)

if you already know my above mentions, i am sorry.
but i want to share my study.

Take care

Seung-Jong Yu M.D.
ggojang at korea.com / ggojang at gmail.com

Electroni Health Record R&D Center
Seoul National University Bundang Hospital
300 Gumi-dong, Bundang-gu, Seongnam-si, Gyeongi-do
463-707, Korea



2005/9/20, Oleh Kachmar Inform
Center <oleh at ic.reha.lviv.ua>:
> 
> Dear Sirs
> 
> I am new in the filed of EHR.
> 
> I am head of the medical information department of the large clinic in 
> Ukraine. (www.cerebralpalsyukraine.com<http://www.cerebralpalsyukraine.com>
> )
> 
> We are treating patients with cerebral palsy and children from many 
> countries of the worlds are coming to us.
> 
> In our work we are using the hospital information system with the 
> electronic medical records, developed for us by local software company. This 
> software is rather powerful but it is not possible to share our information 
> with other medical institutions.
> 
> In our country the electronic health record software is only taking its 
> first steps.
> 
> In the future we are planing to improve our software to make it possible 
> to share the medical information with other clinics.
> 
> Please could you suggest us what steps are most important and should be 
> done first. What are the most common mistakes.
> 
> Thank you in advance for the advice.
> 
> Oleh Kachmar, MD, PhD
>
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