Asadi Farkhondeh, Moghaddasi Hamid, Rabiei Reza, Rahimi Forough, Mirshekarlou Soheila Jahangiri
School of Allied Medical Sciences Shahid Beheshti University of Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
School of allied Medical Sciences, Shahid Beheshti University of Medical Sciences, ShahidBeheshti University of Medical Sciences, Tehran, Iran. Deputy of Treatment, Urmia University of Medical Sciences, Urmia, Iran.
Acta Inform Med. 2015 Dec;23(6):369-73. doi: 10.5455/aim.2015.23.369-373.
Electronic Health Records (EHRs) are secure private lifetime records that can be shared by using interoperability standards between different organizations and units. These records are created by the productive system that is called EHR system. Implementing EHR systems has a number of advantages such as facilitating access to medical records, supporting patient care, and improving the quality of care and health care decisions. The project of electronic health record system in Iran, which is the goal of this study, is called SEPAS. With respect to the importance of EHR and EHR systems the researchers investigated the project from two perspectives: determining the coordinates of the project and how it evolved, and incorporating the coordinates of EHR system in this project.
In this study two evaluation tools, a checklist and a questionnaire, were developed based on texts and reliable documentation. The questionnaire and the checklist were validated using content validity by receiving the experts' comments and the questionnaire's reliability was estimated through Test-retest(r =87%). Data were collected through study, observation, and interviews with experts and specialists of SEPAS project.
This research showed that SEPAS project, like any other project, could be evaluated. It has some aims; steps, operational phases and certain start and end time, but all the resources and required facilities for the project have not been considered. Therefore it could not satisfy its specified objective and the useful and unique changes which are the other characteristics of any project have not been achieved. In addition, the findings of EHR system coordinates can be determined in 4 categories as Standards and rules, Telecommunication-Communication facilities, Computer equipment and facilities and Stakeholders.
The findings indicated that SEPAS has the ability to use all standards of medical terminology and health classification systems in the case of Maksa approval (The reference health coding of Iran). ISO13606 was used as the main standard in this project. Regarding the telecommunication-communication facilities of the project, the findings showed that its link is restricted to health care centers which does not cover other institutions and organizations involved in public health. The final result showed that SEPAS is in the early stages of execution. And the full implementation of EHR needs the provision of the infrastructure of the National Health Information Network that is the same as EHR system.
电子健康记录（EHRs）是安全的个人终身记录，可通过不同组织和单位之间的互操作性标准进行共享。这些记录由称为电子健康记录系统的生产系统创建。实施电子健康记录系统具有诸多优势，如便于获取医疗记录、支持患者护理以及提高护理质量和医疗决策水平。伊朗的电子健康记录系统项目，即本研究的目标，称为SEPAS。鉴于电子健康记录和电子健康记录系统的重要性，研究人员从两个角度对该项目进行了调查：确定项目的坐标及其发展方式，以及将电子健康记录系统的坐标纳入该项目。
在本研究中，基于文本和可靠文档开发了两种评估工具，即检查表和问卷。通过征求专家意见，利用内容效度对问卷和检查表进行了验证，并通过重测法估计问卷的信度（r = 87%）。通过研究、观察以及与SEPAS项目的专家和专业人员进行访谈来收集数据。
本研究表明，SEPAS项目与其他任何项目一样，可以进行评估。它有一些目标、步骤、运营阶段以及特定的开始和结束时间，但该项目并未考虑所有资源和所需设施。因此，它无法实现其规定的目标，也未实现任何项目的其他特征，即有用且独特的变革。此外，电子健康记录系统的坐标结果可分为4类，即标准与规则、电信通信设施、计算机设备与设施以及利益相关者。
研究结果表明，SEPAS有能力在获得Maksa批准（伊朗的参考健康编码）的情况下使用所有医学术语和健康分类系统标准。本项目采用ISO13606作为主要标准。关于该项目的电信通信设施，研究结果表明其链接仅限于医疗保健中心，未涵盖参与公共卫生的其他机构和组织。最终结果表明，SEPAS处于实施的早期阶段。电子健康记录的全面实施需要提供与电子健康记录系统相同的国家健康信息网络基础设施。
