title: Balancing centralised and decentralised EHR approaches to manage standardisation.
abstract: Balancing regional and national electronic health record (EHR) approaches requires cooperation between clinical and technical experts at different organisational levels. Bridging is necessary to achieve interoperability between regional EHR systems, without neglecting the clinical usefulness. This study has investigated the approaches chosen in modelling the clinical content of EHRs in two out of five regions in Denmark. Based on the knowledge obtained in these studies a 'clinical content format' was developed to facilitate the work of the regions, where the clinical content of EHR systems is modelled. The objective of the clinical content format is to enable share and reuse across organisations, furthermore an objective is to gradually introduce standards. The results of the first iteration of a 'clinical content format' are presented and future adjustments are discussed based on the results.
authors.affiliation: Department of Health Science and Technology, Aalborg University, DK-9220 Aalborg Øst, Denmark. kirse@hst.aau.dk
authors.forename: Kirstine Hjære
authors.initials: KH
authors.lastname: Rosenbeck
authors.forename: Anne
authors.initials: A
authors.lastname: Randorff Rasmussen
authors.forename: Pia Britt
authors.initials: PB
authors.lastname: Elberg
authors.forename: Stig Kjær
authors.initials: SK
authors.lastname: Andersen
mesh_terms: D003628:Database Management Systems / Q000592:standards*; D003718:Denmark; D057286:Electronic Health Records / Q000592:standards*; D016247:Information Storage and Retrieval / Q000592:standards*; D008498:Medical Record Linkage / Q000592:standards*; D017410:Practice Guidelines as Topic