EHR standard, definition, component, level of EHR interoperability,

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HEALTH INFORMATIC & TECHNOLOGY OF NURSING
UNIT – 4 (D) SHARED CARE AND ELECTRONIC HEALTH RECORDS
PREPARED BY DOLISHA WARBI

2. 8/16/2023 © R R INSTITUTIONS , BANGALORE
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EHR STANDARDS:
DEFINITION:
Is refers to a set of guidelines, rules, and technical and specifications that define
how electronic health information is structured, organized, and exchanged between
different EHR system.
COMPONENT OF EHR STANDARD:
DATA
ELEMENTS
CODE SETS
MESSAGING
STANDARDS
SECURITY
PROTOCOL
COMPONENT

3. Cont..
DATA ELEMENTS:
It referred to a specific piece of health information, such as patient demographic,
medical history, medications and lab results.
CODE SETS:
Standardized code that are used to clarify and identify different health information
such as ICD codes for diagnosis of CPT codes for procedure.
MESSAGING STANDARDS:
It defines how health information is communicated and share between different
EHR systems and healthcare provider.
SECURITY PROTOCOLS:
It ensured that health information is protected from unauthorized access and
disclosures, and that the privacy of patient is maintained.
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4. LEVELS OF EHR INTEROPERABILITY:
It is important for improving the quality and continuity of care, as it enables
healthcare providers assess a patient’s complete health records.
Level of care involves:
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FIRST: FUNDATIONAL INTEROPERABILITY
SECOND: STRUCTURAL INTEROPERABILITY
THIRD: SEMANTIC INTEROPERABILITY

5. Cont..
FUNDAMENTAL INTEROPERABILITY:
This levels allow different systems to send and receive health information. But the
information may not be formatted in a standard way, and may not be able to be
interpreted by order system.
STRUCTURAL INTEROPERABILITY:
This level enable health information to be exchanged in a standardized messaging
format.
SEMANTIC INTEROPERABILITY:
This levels enable health information to be exchanged in a way that it is meaningful
and can be understood by order system, such as through the use of standardized
technique, terminologies.
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