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

Case Example: Building an EMR system for HIV chronic care
This case example describes an EMR system for the management of HIV in the context of the
outlined functional profile. Similar case examples can be derived for systems used for the
management of other diseases or for systems used in specific departments in the health setting
such as EMR systems for cancer care, EMR systems for pediatric care, EMR systems for OPD use or
EMR systems for in-patient use. The defined minimum functional requirements aim at informing
the minimums for all these systems.
Functional requirements for HIV Specific EMR
Minimum Data Set
In 2004 the World Health Organization (WHO) released ART patient monitoring guidelines, which
provided the minimum data set for longitudinal follow-up of patients receiving HIV care. 17 The
guidelines were revised in 2006. They summarize the minimum data set for HIV care into 4
categories:
· Demographic information
· HIV care and family status
· ART summary
· Patient encounter information
In recognition of the expanded nature of HIV care, WHO, in 2009, improved on the patient
monitoring guidelines and released the 3 interlinked patient monitoring system 18 that incorporates
key data elements on:
· HIV care and Treatment
· Maternal Child Health and PMTCT and
· Tuberculosis care
17 Patient Monitoring Guidelines for HIV Care and ART 2004, and 2006
18 Three interlinked patient monitoring systems for HIV Care/ART, MCH/PMTCT and TB/HIV: Standardized
minimum data set and illustrative tools
Standards and Guidelines for Electronic Medical Records Systems in Kenya 33