Functionalities of free and open electronic health record systems

International Journal of Technology Assessment in Health Care
Alejandro Enrique Flores ZunigaWilly Susilo

Abstract

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. 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. 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. 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 fu...Continue Reading

References

Aug 12, 2003·International Journal of Medical Informatics·Vitali Sintchenko, Enrico W Coiera
Aug 23, 2005·International Journal of Medical Informatics·Bernd Blobel
Nov 2, 2006·Journal of the American Medical Informatics Association : JAMIA·Charles Safran Expert Panel
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Citations

Jul 30, 2014·Computer Methods and Programs in Biomedicine·M L M KiahA A Zaidan
Dec 9, 2014·Journal of Biomedical Informatics·A A ZaidanMohamed Abdulnabi
Mar 15, 2015·Journal of the American Medical Informatics Association : JAMIA·Fleur FritzMartin Dugas
Mar 15, 2014·Healthcare Informatics Research·Thomas KaropkaHans Demski
Feb 22, 2017·Computers, Informatics, Nursing : CIN·Ahmad Tubaishat
Dec 15, 2017·Informatics for Health & Social Care·Ahmad Tubaishat
Feb 27, 2017·JMIR Medical Informatics·Mona AlsaffarMichael Hogarth
Oct 16, 2015·Health Information Management : Journal of the Health Information Management Association of Australia·Fatemeh RezaeibaghaWilly Susilo

Related Concepts

Computer Programs and Programming
Protocol Compliance
International Relations
Electronic Health Records
Environment
Computer Software
Standardization
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Evaluation
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