title: What makes an EHR "open" or interoperable?
abstract: We have identified 5 use cases that comprise a useful definition of an "open or interoperable electronic health record (EHR)." Each of these use cases represents important functionality that should be available to 1) clinicians, so they can provide safe and effective health care; 2) researchers, so they can advance our understanding of disease and health care processes; 3) administrators, so they can reduce their reliance on a single-source EHR developer; 4) software developers, so they can develop innovative solutions to address limitations of current EHR user interfaces and new applications to improve the practice of medicine; and 5) patients, so they can access their personal health information no matter where they receive their health care. Widespread access to "open EHRs" that can accommodate at least these 5 use cases is important if we are to realize the enormous potential of EHR-enabled health care systems.
authors.affiliation: University of Texas - Memorial Hermann Center for Healthcare Quality & Safety, School of Biomedical Informatics, University of Texas Health Science Center, Houston, TX, USA dean.f.sittig@uth.tmc.edu.
authors.forename: Dean F
authors.initials: DF
authors.lastname: Sittig
authors.affiliation: Department of General Internal Medicine, Brigham & Women's Hospital, Boston, MA, USA.
authors.forename: Adam
authors.initials: A
authors.lastname: Wright
mesh_terms: D057286:Electronic Health Records; D008490:Medical Informatics; D016347:Medical Records Systems, Computerized; D010067:Ownership; D012984:Software
keywords: electronic health record; health information technology; medical informatics