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

Table of Contents
INTRODUCTION, BACKGROUND, AND RATIONALE ................................................................................. 6
VISION FOR THE EMRINITIATIVE IN KENYA .................................................................................................... 8
PURPOSE OF THIS DOCUMENT ..................................................................................................................... 9
AUDIENCE .............................................................................................................................................. 9
STRUCTURE OF THE STANDARDS AND GUIDELINES DOCUMENT .......................................................................... 9
SCOPE AND EVOLUTION .......................................................................................................................... 10
POLICIES AND INTERNATIONAL STANDARDS ................................................................................................. 10
REVISION AND UPDATES .......................................................................................................................... 12
SECTION 1: ELECTRONIC MEDICAL RECORD SYSTEMS: DEVELOPMENT AND FUNCTIONS ..................... 14
SECTION INTRODUCTION ........................................................................................................................ 15
THE EMRSYSTEM DEVELOPMENT PROCESS .............................................................................................. 15
Meeting EMR System Requirements ............................................................................................... 15
Documentation of EMR System Development ................................................................................ 16
FUNCTIONAL REQUIREMENTS FOR EMRSYSTEMS ...................................................................................... 17
Introduction ................................................................................................................................... 17
Standards Referenced .................................................................................................................... 17
Minimum EMR Functional Requirements ....................................................................................... 18
Information Security Management for EMR systems ...................................................................... 28
Data Validation.............................................................................................................................. 31
CASE EXAMPLE:BUILDING AN EMR SYSTEM FOR HIV CHRONIC CARE ............................................................ 33
SECTION 2: EMR SYSTEM AND INFORMATION EXCHANGE - INTEROPERABILITY .................................. 40
SECTION INTRODUCTION ........................................................................................................................ 41
DATA TRANSMISSION VIA HL7 AND SDMXMESSAGING ............................................................................. 42
INTEROPERABILITY PROFILES AND USE CASES ............................................................................................ 43
SECTION 3: IMPLEMENTING EMR SYSTEMS .......................................................................................... 52
SECTION INTRODUCTION ........................................................................................................................ 53
IMPLEMENTATION PLANNING ................................................................................................................. 53
PRE-IMPLEMENTATION REQUIREMENTS ................................................................................................... 54
Infrastructure Requirements .......................................................................................................... 54
Facility EMR Readiness Assessment ................................................................................................ 56
HUMAN RESOURCE REQUIREMENTS ........................................................................................................ 56
Required Competencies for a Functional EMR System .................................................................... 58
Matrix of Competency Levels by Cadre ........................................................................................... 64
Estimating Human Resource Numbers ........................................................................................... 67
MANAGING AND SUPPORTING EMRSYSTEM OPERATIONS .......................................................................... 68
Enhancing System Security ............................................................................................................. 68
Backup of Patient Data .................................................................................................................. 70
Computer Virus Control ........................................................................Error! Bookmark not defined.
EMR System Support ............................................................................Error! Bookmark not defined.
Standards and Guidelines for Electronic Medical Records Systems in Kenya 2