School of Information Systems and Technology, University ofWollongong, Northfields Avenue, Wollongong, NSW 2522, Australia.
Int J Technol Assess Health Care. 2010 Oct;26(4):382-9. doi: 10.1017/S0266462310001121.
The aim of this study was to examine open-source electronic health record (EHR) software to determine their level of functionalities according to the International Organization for Standardization (ISO) standards.
ISO standards were used as a guideline to determine and describe the reference architecture and functionalities of a standard electronic health record system as well the environmental context for which the software has been built. Twelve open-source EHR systems were selected and evaluated according to two-dimensional criteria based on ISO/TS 18308:2004 functional requirements and ISO/TR 20514:2005 context of the EHR system.
Open EHR software programs mostly fulfill structural, procedural, evolutional, and medicolegal requirements at the minimal and full functionality levels. Communication, privacy, and security requirements are accomplished in less than 23 percent of the cases, mainly at minimal functional level. Ethical, cultural, and consumer requirements still need to be fulfilled by free and open-source EHR applications.
Most analyzed systems had several functional limitations. Nevertheless, especially for clinicians and decision makers in developing countries, open-source EHR systems are an option. The limited functionalities are likely to become requirements for further releases of open-source EHR systems.
本研究旨在检查开源电子健康记录（EHR）软件，以根据国际标准化组织（ISO）标准确定其功能级别。
ISO 标准被用作确定和描述标准电子健康记录系统的参考体系结构和功能以及软件构建的环境上下文的指南。根据基于 ISO/TS 18308:2004 功能要求和 ISO/TR 20514:2005 EHR 系统上下文的二维标准，选择并评估了 12 种开源 EHR 系统。
开放 EHR 软件程序在最小和完整功能级别上主要满足结构、程序、演变和医疗法律要求。在不到 23%的情况下，满足了通信、隐私和安全要求，主要是在最小功能级别。伦理、文化和消费者要求仍然需要通过免费和开源 EHR 应用程序来满足。
大多数分析的系统都有一些功能限制。然而，对于发展中国家的临床医生和决策者来说，开源 EHR 系统是一种选择。有限的功能很可能成为进一步发布开源 EHR 系统的要求。
