Canadian Institute For Health Information - Electronic Health Records

Electronic Health Records

In 2003 Canada Health Infoway Inc. and the Canadian Institute for Health Information signed a Memorandum of Understanding that formalized a partnership to develop and maintain standards required in support of Electronic Health Record (EHR) data definitions and standards in Canada. Infoway led the development of EHR Solution standards and acted as the overall program manager for EHR standards-related work, whereas CIHI's operated as the preferred partner in the development of these standards. CIHI's role also encompassed continued responsibility for data definitions, content standards and classification systems because of CIHI's widely recognized role as leader in the development of health informatics standards and records, and its record of successful collaborations with other health organizations in Canada. This initiative was aimed mainly at improving primary health care (PHC) in Canada, the most commonly experienced type of health care among Canadians. Interoperable EMRs are intended to assist in ensuring that PHC clinicians have timely and relevant information necessary to deliver, coordinate and administer care. Additionally, EMR information generated at the point of service can also be used to support quality improvement initiatives, such as clinical program management, research, and monitoring the health of the population, as well as to improve the efficiency of the health care system overall.

CIHI led the project and achieved a major milestone in 2011 with the establishment of the Draft Pan-Canadian Primary Health Care Electronic Medical Record Content Standard. The PHC EMR CS consists of 106 data elements that are commonly found in EMRs, used to support both primary uses of EMR data, such as reminders and alerts for patients with chronic conditions, and health system uses, such as a jurisdictional diabetes management registry. Moving forward, CIHI and its partners' plans include establishing more products and services that facilitate the adoption and implementation of the PHC EMR CS in addition to enacting strategies and plans for the longer-term governance and maintenance of the PHC EMR CS so that it remains clinically and technically relevant in the future.

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