2016 № 2 Integrated electronic health record: Status and Prospects
Russian «Base» iEHR (without specialized medical profiles features) is under ongoing development. «Base» iEHR includes: 1) Structured electronic medical documents (SEMD) containing summaries of healthcare information from patients’ medical encounters; 2) SEMDs for Observation orders and results of consultations and diagnostic tests; 3) SEMDs for use in interagency electronic interaction system; and 4) Integrated patients’ medical histories. «Base» iEHR SEMDs are developed as HL7 CDA documents with CDA Level Two document structure and partially using elements of the CDA Level Three. According to the current plan, development of Russian «Base» iEHR can be completed in 3 years. It is suggested that developed fragments of «Base» iEHR to be implemented at national level as soon as they become available. Even at the current state «Base» iEHR is suitable for providing continuity of medical care for patients.