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

H = Requirements. These items tare prioritized for immediate implementation in EMR systems. All
systems are required to have these features.
L = Recommendations. These items are desirable, though not critical, for current
implementations. However, these items will likely become requirements as information system
implementation evolves in Kenya
Specifications
Priority
1. General
1.1. System supports a function where the contents of the paper record as defined by
H
standardized MOH forms can be entered for inclusion in the EMR.
1.2. System supports a total paperless function using a point of care system. L
1.3. System captures data that can be used for individual patient care as well as for program H
monitoring and evaluation.
1.4. System shall associate key identifier information (e.g., system ID, medical record number) H
with each patient record.
1.5. System allows for summarized information in different parts of the system to be sorted H
and filtered by date or date ranges and chronology.
2. Demographics/ Patient Identification
2.1. System supports the generation and use of a unique identifier and allows for the storage H
and use of more than one identifier for each patient’s record.
2.2. System captures and maintains demographic information. At minimum, the system should H
capture the following demographic information:
2.2.1. Patient names: surname, first name and other name. H
2.2.2. Other vital information includes: sex, date of birth, place of birth, patient’s physical H
address, patient’s telephone contact and next of kin.
2.2.3. Additional information may include: Biometric identifiers L
2.3. System displays multiple types of patient identifying information at each interaction with H
the patient record to facilitate accurate patient identification.
Standards and Guidelines for Electronic Medical Records Systems in Kenya 21