Standards and Guidelines for Electronic Medical Record Systems in ...

i. Have access control functions that limit access to health data to selected individuals,
based on defined and document roles
ii. Maintain detailed audit trails of all events within the EMR system
iii. Follow defined standard practices on logins and passwords
iv. Ensure data protection by meeting requirements regarding data backup, recovery and
documentation of systems
v. Incorporate technical security functions in line with requirements regarding encryption
and data transmission.
Exchange of Electronic Information
EMR systems co-exist with other systems in the health care setting. These include other EMR
systems, laboratory systems and pharmacy systems. In order to promote inter-operability between
systems, EMR systems are required to:
i. Receive patient information as a clinical document using a recognized standard
ii. Generate patient summary information as a clinical document using a recognized
standard
iii. Generate aggregate clinical care information using a recognized standard
Implementation Guidance
The following table outlines the functional requirements for the EMR systems in greater detail to
provide guidance on how to meet the 6 key functional areas described above. This table is intended
for use by EMR system developers to ensure that systems meet minimum specifications for quality
care provision and reporting. Health managers may also use this table to evaluate t EMR systems
for compliance with these requirements.
This functional profile aims to ensure that quality data is collected and used for follow up, patient
management and generation of required reports. The profile also aims at ensuring the integration
of decision support in medical systems to guide and ensure timely patient care decisions.
Key to PRIORITY column
The table categorizes the EMR system functionalities as either highly prioritized or lowly
prioritized.
Standards and Guidelines for Electronic Medical Records Systems in Kenya 20