Standards as Infrastructure for National Electronic Health Record Development: A Comparative Study

Results of previous studies have showed that there is no comprehensive and standard model for the development of Electronic Health Record (EHR). Therefore, in this study, with the aim of proposing a set of applicable standards for EHR development in Iran, different standards were compared in terms of structure and content, architecture and function aspects.
This comparative study was done in 2017 to compare standards of ASTM, HL7 and ISO organization based on their content. Then, a set of required standards for the development of a national electronic health record was suggested.
ASTME1384 not only included structure and content standard of EHR and CCR user friendly architecture, but also it considered data exchange. Executive function of HER in DSTU-functional model was significant achievement of Hl7. ISO18308 contained requirements for structure and content of EHR and ISO18306 presented interoperability of data comprehensively.
In spite of different activities of standardization organizations in various fields of EHR development, each of them is more comprehensive in some specific aspects. According to the obtained results, for successful development of HER, E1384 is suggested for structure and content, CDA for architecture and DSTU conformance criteria for evaluation.