ﺩﺍﻧﺸگﺎﻩ ﺻﻨﻌﺘﻱ ﺍﻣﻱﺮکﺒﻱﺮ ﺭﺷﺘﻪ ﻣﺪﻱﺮﻱﺖ ﻓﻨﺎﻭﺭﻱ ﺍﻃﻼﻋﺎﺕپﺰﺷکﻱ

ﺩﺍﻧﺸگﺎﻩ ﺻﻨﻌﺘﻱ ﺍﻣﻱﺮکﺒﻱﺮ ﺭﺷﺘﻪ ﻣﺪﻱﺮﻱﺖ ﻓﻨﺎﻭﺭﻱ ﺍﻃﻼﻋﺎﺕپﺰﺷکﻱ ﺳﻤﻱﻨﺎﺭ ﺩﺭﺱ کﺎﺭﺑﺮﺩﻫﺎی ﻓﻨﺎﻭﺭی ﺍﻃﻼﻋﺎﺕ ﺩﺭ پﺰﺷکی پﺮﻭﻧﺪﻩﺍﻟکﺘﺮﻭﻧﻱکﻱﺳﻼﻣﺖ ﺣﺴﻱﻦ ﺭﻱﺎﺿﻱ ﺗﻱﺮﻣﺎﻩ 8831

ﻣﻘﺪﻣﻪ ﺍﻭﺍﺳﻂ ﻗﺮﻥ 02 کﺎﺭﺑﺮﺩ ﺭﺍﻱﺎﻧﻪﻫﺎ ﺩﺭ ﺑﻱﻤﺎﺭﺳﺘﺎﻥﻫﺎ ﺳﻱﺴﺘﻢﻫﺎﻱ ﺍﻃﻼﻋﺎﺕ ﺑﻱﻤﺎﺭﺳﺘﺎﻧﻱ ﺍﻣکﺎﻥ ﺑﻪﺍﺷﺘﺮﺍکگﺬﺍﺭﻱ ﻭ ﺗﺒﺎﺩﻝ ﺩﺍﺩﻩﻫﺎ ﺑﻱﻦ ﺑﻱﻤﺎﺭﺳﺘﺎﻥﻫﺎ ﺍﺳﺘﺎﻧﺪﺍﺭﺩﻫﺎﻱ ﺗﺒﺎﺩﻝ ﺩﺍﺩﻩ ﻣﺎﻧﻨﺪ 7 HL ﺗﺒﺎﺩﻝ ﺩﺍﺩﻩ ﺑﻱﻦ کﻠﻱﻪ ﻣﺮﺍکﺰ ﺳﻼﻣﺖ ﺗﺠﻤﻱﻊ ﻭﻱکپﺎﺭچگﻱ ﺍﻃﻼﻋﺎﺕ ﺳﻼﻣﺖﺷﻬﺮﻭﻧﺪﺍﻥ ﺑﻱﺸﺘﺮﻱﻦ ﻫﺰﻱﻨﻪ ﻭ ﺍﻧﺮژﻱ ﺑﺮ ﺭﻭﻱ EHR ﺑﺮ ﺍﺳﺎﺱ ﻣﻄﺎﻟﻌﻪ ﺗﻄﺒﻱﻘﻱ ﺳﻼﻣﺖﺍﻟکﺘﺮﻭﻧﻱکﻱ ﺩﺭ ﺟﻬﺎﻥ

ﺍﻧﻮﺍﻉپﺮﻭﻧﺪﻩﺍﻟﻜﺘﺮﻭﻧﻴﻜﻲ • Computerized Patient Record (CPR) • Electronic Patient Record (EPR) - HIS • Computerized Medical Record (CMR) • Electronic Medical Record (EMR) • Electronic Health Care Record (EHCR) • Personal Health Record (PHR) • Electronic Health Record (EHR)

ﻣﻬﻤﺘﺮﻱﻦﻫﺪﻑ –ﺍﺷﺘﺮﺍکﺍﻃﻼﻋﺎﺕ

ISO ﺗﻌﺮﻳﻒ ﻣﻄﺮﺡﺷﺪﻩ ﺩﺭ The EHR should be timely, reliable, complete, accurate, secure and accessible and designed to support the delivery of healthcare services regardless of the model of healthcare being applied. It should interoperate in a way which is truly global yet respects local customs, language and culture. The EHR recognizes that an individual’s health data will be distributed over different systems, and in different locations around the world. To achieve the integration of data, the EHR will require the adoption of a common information model by compliant systems and the adoption of relevant international standards wherever possible.

WIKIPEDIA ﺗﻌﺮﻳﻒ ﻣﻄﺮﺡﺷﺪﻩ ﺩﺭ An Electronic Health Record (EHR) refers to an individual patient's medical record in digital format. Electronic health record systems co-ordinate the storage and retrieval of individual records with the aid of computers. EHRs are usually accessed on a computer, often over a network. It may be made up of electronic medical records (EMRs) from many locations and/or sources. A variety of types of healthcare-related information may be stored and accessed in this way.

» ﻛﻠﻴﻪ ﺍﻃﻼﻋﺎﺕ ﻣﺮﺗﺒﻂ ﺑﺎ ﺳﻼﻣﺖ ﺷﻬﺮﻭﻧﺪﺍﻥ، ﺍﺯ پﻴﺶ ﺍﺯ ﺗﻮﻟﺪ )ﺷﺎﻣﻞ ﺍﻃﻼﻋﺎﺕ ﺩﻭﺭﺍﻥ ﺟﻨﻴﻨﻲ ﻭ ﻣﺎﻗﺒﻞ آﻦ - ﻣﺎﻧﻨﺪ ﺍﻃﻼﻋﺎﺕ ﻣﺮﺑﻮﻁ ﺑﻪ ﻟﻘﺎﺡ آﺰﻣﺎﻳﺸگﺎﻫﻲ ﻭ ﺳﺎﺑﻘﻪ ﻣﺼﺮﻑ ﺩﺍﺭﻭﻫﺎﻱ ﺑﺎﺭﻭﺭﻱ ﻭ ﺿﺪﺑﺎﺭﻭﺭﻱ ﺩﺭ ﻭﺍﻟﺪﻳﻦ-( ﺗﺎ پﺲ ﺍﺯ ﻣﺮگ )ﻣﺎﻧﻨﺪ ﺍﻃﻼﻋﺎﺕ ﺑﺪﺳﺖ آﻤﺪﻩ ﺍﺯ ﺍﺗﻮپﺴﻲ، پﻴﻮﻧﺪ ﺍﻋﻀﺎ، ﻣﺤﻞ ﺩﻓﻦ ﻭ. . . ( ﻛﻪ ﺑﻪ ﺻﻮﺭﺕ ﻣﺪﺍﻭﻡ ﻭ ﺑﺎ گﺬﺷﺖ ﺯﻣﺎﻥ ﺑﻪ ﺷﻜﻞ ﺍﻟﻜﺘﺮﻭﻧﻴﻜﻲ ﺫﺧﻴﺮﻩ ﻣﻲ گﺮﺩﺩ ﻭ ﺩﺭ ﺻﻮﺭﺕ ﻧﻴﺎﺯ، ﺑﺪﻭﻥ ﻣﺤﺪﻭﺩﻳﺖ ﻣﻜﺎﻧﻱ ﻳﺎ ﺯﻣﺎﻧﻱ، ﺗﻤﺎﻡ ﻳﺎ ﺑﺨﺸﻲ ﺍﺯ آﻦ ﺩﺭ ﺩﺳﺘﺮﺱ ﺍﻓﺮﺍﺩ ﻣﺠﺎﺯ ﻗﺮﺍﺭ ﺧﻮﺍﻫﺪ گﺮﻓﺖ. «

ﻣﺰﺍﻳﺎﻱپﺮﻭﻧﺪﻩﺍﻟﻜﺘﺮﻭﻧﻴﻜﻲﺳﻼﻣﺖ ﺑﻬﺒﻮﺩ کﻱﻔﻱﺖ ﺧﺪﻣﺎﺕ ﺳﻼﻣﺖ ﺍﺯ ﻃﺮﻱﻖ ﻧﻈﺎﺭﺕ ﻭﺣﺴﺎﺑﺮﺳﻱ ﻭ ﺍﻧﺘﺨﺎﺏ ﺭﻭﺷﻬﺎﻱ ﺑﻬﺘﺮپﻱﺸگﻱﺮﻱ،ﺗﺸﺨﻱﺼﻱ ﻭ ﺩﺭﻣﺎﻧﻱ کﺎﻫﺶ ﺧﻄﺎﻫﺎﻱپﺰﺷکﻱ ) (Medical Errors کﺎﻫﺶ ﻫﺰﻱﻨﻪﻫﺎﻱ ﺗﺸﺨﻱﺼﻱ ﻭ ﺩﺭﻣﺎﻧﻱ ﻧﺎﺷﻱ ﺍﺯ کﺎﻫﺶ ﺧﺪﻣﺎﺕ ﺗکﺮﺍﺭﻱ ﻱﺎ ﻏﻱﺮ ﺿﺮﻭﺭﻱ ﻭ کﺎﻫﺶ ﺍﻣکﺎﻥ ﺗﺨﻠﻔﺎﺕ ﻭ ﺳﻮ ﺍﺳﺘﻔﺎﺩﻩﻫﺎﻱ ﺀ ﻧﺎﺷﻱ ﺍﺯ ﻧﻈﺎﻡ ﻓﻌﻠﻱ ﺑﻱﻤﻪ کﻤک ﺑﻪ ﺗﺼﻤﻱﻢگﻱﺮﻱ ﺻﺤﻱﺢ ﻣﺪﻱﺮﺍﻥ ﺍﺭﺷﺪ ﻧﻈﺎﻡ ﺳﻼﻣﺖ ﺗﻮﻟﻱﺪ ﺩﺍﻧﺶپﺰﺷکﻱ ﺍﺯ ﻃﺮﻱﻖ آﻤﻮﺯﺵ ﻭپژﻮﻫﺶ ﺍﻓﺰﺍﻱﺶ آگﺎﻫﻱ ﻭﻣﺸﺎﺭکﺖ ﻣﺮﺩﻡ ﺩﺭ ﺍﻱﺠﺎﺩ ﻭ ﺣﻔﻆ ﺳﻼﻣﺖ ﺧﻮﺩ ﺗﻮﺯﻱﻊﻋﺎﺩﻻﻧﻪ ﻣﻨﺎﺑﻊ ﺳﻼﻣﺖ ﺍﺭﺍﺋﻪ ﺧﺪﻣﺎﺕ ﻧﻮﻱﻦﺍﻟکﺘﺮﻭﻧﻱکﻱ

ﺫﻳﻨﻔﻌﺎﻥ ﻭ ﻛﺎﺭﺑﺮﺩﻫﺎ ﺷﻬﺮﻭﻧﺪﺍﻥ –ﻧگﻬﺪﺍﺭﻱﺳﻮﺍﺑﻖ ﻭﺿﻌﻴﺖ ﺳﻼﻣﺖ ﺍﺭﺍﺋﻪﺩﻫﻨﺪگﺎﻥ ﺧﺪﻣﺎﺕ ﺳﻼﻣﺖ – ﻛﺎﻫﺶ ﻫﺰﻳﻨﻪ ﻫﺎ ﺳﺎﺯﻣﺎﻧﻬﺎﻱ ﺑﻴﻤﻪ گﺮ – ﻛﺎﻫﺶ ﻫﺰﻳﻨﻪ ﻫﺎ ﻣﺪﻳﺮﺍﻥ ﻭ ﺗﺼﻤﻴﻢ گﻴﺮﺍﻥ ﺣﻮﺯﻩ ﺳﻼﻣﺖ – ﺗﺼﻤﻴﻢ گﻴﺮﻱ ﻣﺒﺘﻨﻲ ﺑﺮ ﺍﻃﻼﻋﺎﺕ ﺻﺤﻴﺢ، ﺩﻗﻴﻖ ﻭ ﺩﺭﻳﺎﻓﺖ ﺳﺮﻳﻊ )ﺑﺨﺼﻮﺹ ﺩﺭ ﺯﻣﻴﻨﻪﺍپﻴﺪﻣﻲ ﻫﺎ ﻭ ﺑﻴﻤﺎﺭﻳﻬﺎﻱ ﻣﺰﻣﻦ( ﻣﺮﺍﻛﺰ آﻤﻮﺯﺷﻲ ﻭپژﻮﻫﺸﻲ – ﺑﺴﺘﺮ ﺍﻃﻼﻋﺎﺗﻲ ﻣﻨﺎﺳﺐ ﺑﺮﺍﻱ ﺗﻮﻟﻴﺪ ﻭگﺴﺘﺮﺵ ﺩﺍﻧﺶپﺰﺷﻜﻲ ﺣﺴﺎﺑﺮﺳﻲ ﻭپﺰﺷﻜﻲ ﻗﺎﻧﻮﻧﻲ

ﺻﺮﻓﻪ ﺟﻮﻱﻱ ﺩﺭ ﺯﻣﺎﻥ پﺰﺷکﺎﻥ ﻭ کﺎﺭکﻨﺎﻥ: کﺎﻫﺶ ﻣﺴﺘﻨﺪﺳﺎﺯﻱ چﺎﺭﺕﻫﺎ کﺎﻫﺶ ﺯﻣﺎﻥ ﻣﻮﺭﺩ ﻧﻱﺎﺯ ﺑﺮﺍﻱ ﺍﻃﻼﻋﺎﺕ پﺬﻱﺮﺵ ﺑﻱﻤﺎﺭ کﺎﻫﺶ ﺍﺭﺟﺎﻉﻫﺎﻱ ﺩﺍﺭﻭﺧﺎﻧﻪ ﺍﺯ ﻃﺮﻱﻖ ﻧﺴﺨﻪ ﺍﻟکﺘﺮﻭﻧﻱکﻱ ﺑﻬﺒﻮﺩ ﺩﺭ کﺪگﺬﺍﺭﻱ کﺎﻫﺶ ﻱﺎ ﺣﺬﻑ ﻫﺰﻱﻨﻪﻫﺎﻱ ﻣﺴﺘﻨﺪﺳﺎﺯﻱ ﺣﺬﻑ چﺎﺭﺕﻫﺎﻱ کﺎﻏﺬﻱ ﻭ ﻫﺰﻱﻨﻪﻫﺎﻱ ﻣﺮﺗﺒﻂ ﺑﺎ آﻦ کﺎﻫﺶ ﺳﺎﻱﺮ ﻫﺰﻱﻨﻪ ﻫﺎ ﺣﺬﻑ ﻭﺭﻭﺩ ﻫﺰﻱﻨﻪ ﻫﺎ ﺑﺎ ﻭﺟﻮﺩ ﺿﺒﻂ ﺍﺗﻮﻣﺎﺗﻱک ﻫﺰﻱﻨﻪ ﻫﺎ ﺍﺗﻮﻣﺎﺳﻱﻮﻥ ﻓﺮﺍﻱﻨﺪ ﺍﺭﺟﺎﻋﺎﺕ

کﺎﻫﺶ کﺴﻮﺭﺍﺕ ﺑﺮﺍﻱ کﺎﺭﺑﺮﺍﻥ EMR ﺍﻣﻨﻱﺖ ﻭ ﺭﺿﺎﻱﺖ ﺑﻱﻤﺎﺭﺍﻥ ﺣﺬﻑ ﺗﺪﺍﺧﻼﺕ ﺩﺍﺭﻭﻱﻱ ﻭ ﺣﺴﺎﺳﻱﺖ ﻫﺎﻱ ﺩﺍﺭﻭﻱﻱ ﺩﺧﺎﻟﺖ ﺗﺎﻱﻱﺪ ﺑﻱﻤﺎﺭﺍﻥ ﺩﺭ ﺗﺠﻮﻱﺰ ﻫﺎﻱ ﺩﺍﺭﻭﻱﻱ ﺍﺭﺳﺎﻝ ﺍﺗﻮﻣﺎﺗﻱک ﻧﺴﺦ ﺗﻬﻱﻪ ﺷﺪﻩ ﺑﻪ ﺩﺍﺭﻭﺧﺎﻧﻪ، )ﺩﺭ ﺣﺎﻟﺖ ﺍﻧﺘﻈﺎﺭ( ﺟﻬﺖ ﻣﺮﺍﺟﻌﻪ ﺑﻱﻤﺎﺭ ﻣﻮﺭﺩ ﻧﻈﺮ کﻨﺘﺮﻝ ﺑﻱﻤﺎﺭ ﺍﺯ ﻃﺮﻱﻖ پﻮﺭﺗﺎﻝ ﺷﺒکﻪ ﻭ پﺮﻭﻧﺪﻩ ﺳﻼﻣﺖ ﺷﺨﺼﻱ

ﺍﻓﺮﺍﺩ ﺟﺎﻣﻌﻪ ﺩﺍﺭﺍﻱ پﺮﻭﻧﺪﻩ پﺰﺷﻜﻲ ﻛﺎﻣﻞ ﻧﻴﺴﺘﻨﺪ ﺍﻃﻼﻋﺎﺕ ﺳﻼﻣﺖ ﺍﻓﺮﺍﺩ ﺟﺎﻣﻌﻪ ﺑﻪﺻﻮﺭﺕ ﻳﻜپﺎﺭچﻪ ﻭﺟﻮﺩ ﻧﺪﺍﺭﺩ ﻋﺪﻡ ﺩﺳﺘﺮﺳﻲ ﺑﻪ ﺍﻃﻼﻋﺎﺕ ﺣﻴﺎﺗﻲ ﺳﻼﻣﺖ ﺍﻓﺮﺍﺩ ﺩﺭ ﻣﻮﺍﻗﻊ ﺍﺿﻄﺮﺍﺭﻱ ﻋﺪﻡ ﺩﺳﺘﺮﺳﻲ ﺑﻪ ﺍﻃﻼﻋﺎﺕ ﺣﻴﺎﺗﻲ ﺳﻼﻣﺖ ﺍﻓﺮﺍﺩ ﺩﺭ ﻣﻮﺍﻗﻊ ﺑﺤﺮﺍﻥ ﻧﺒﻮﺩ ﺍﻃﻼﻋﺎﺕ ﻛﺎﻓﻲ ﺍﺯ ﻋﻤﻠﻜﺮﺩ ﻛﺎﺩﺭ ﺳﻼﻣﺖ ﻋﺪﻡ ﻭﺟﻮﺩ ﺍﻃﻼﻋﺎﺕ ﻳﻜپﺎﺭچﻪ ﺳﻼﻣﺖ ﻟﺰﻭﻡ پﺸﺘﻴﺒﺎﻧﻲ ﺍﻃﻼﻋﺎﺗﻲ ﺍﺯ ﺗﺼﻤﻴﻢگﻴﺮﻱﻫﺎ ﺩﺭ ﺣﻮﺯﻩ ﺳﻼﻣﺖ ﺑﺎﺯﺗﻮﻟﻴﺪ ﺍﻃﻼﻋﺎﺕ ﺳﻼﻣﺖ ﺑﻪﺻﻮﺭﺕ ﻣﻮﺍﺯﻱ ﻭ کﻢ کﺮﺩﻥ ﺩﻭﺑﺎﺭﻩ کﺎﺭﻱﻫﺎﻱ ﺧﺪﻣﺎﺕ ﺳﻼﻣﺖ ﻭﺟﻮﺩ ﺳﻮﺀ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﺧﺪﻣﺎﺕ ﺣﻤﺎﻳﺘﻲ ﺳﻼﻣﺖ ﺑﻪ ﺩﻟﻴﻞ ﻋﺪﻡ ﺗﻤﺮﻛﺰ ﺍﻃﻼﻋﺎﺕ

ﻋﺪﻡ ﺍﺟﺮﺍﻱ ﻛﺎﻣﻞ ﻗﻮﺍﻧﻱﻦ ﻣﺮﺑﻮﻁ ﺑﻪ ﺍﻣﻮﺭ پﺰﺷکﻱ ﺗﺒﺎﺩﻝ ﺍﻃﻼﻋﺎﺕ ﺑﻴﻤﺎﺭﺍﻥ ﺑﻴﻦ ﻣﺮﺍﻛﺰ ﺩﺭﻣﺎﻧﻲ ﺑﺎ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﻣﺴﺘﻨﺪﺍﺕ ﻛﺎﻏﺬﻱ ﺩﺭ ﺩﺳﺘﺮﺱ ﻧﺒﻮﺩﻥ ﺳﻮﺍﺑﻖ پﺰﺷﻜﻲ ﺍﻗﻮﺍﻡ ﺩﺭﺟﻪ ﻳﻚ ﻋﺪﻡ ﺩﺳﺘﺮﺳﻲ پﺰﺷﻜﺎﻥ ﻣﺸﺎﻭﺭ ﺑﻪ پﺮﻭﻧﺪﻩ ﺑﻴﻤﺎﺭ ﻣﺠﺘﻤﻊ ﻧﺒﻮﺩﻥ ﺍﻃﻼﻋﺎﺕ ﺑﻴﻤﺎﺭﺍﻥ ﺧﺎﺹ ﺯﻣﺎﻧﺒﺮ ﺑﻮﺩﻥ ﺗﻬﻴﻪ آﻤﺎﺭ ﻭ گﺰﺍﺭﺷﺎﺕ ﻋﺪﻡ ﺍﻣﻜﺎﻥ ﺗﺒﺎﺩﻝ ﺍﻃﻼﻋﺎﺗﻲ ﺑﻴﻦ ﺳﻴﺴﺘﻢﻫﺎﻱ ﻧﺮﻡﺍﻓﺰﺍﺭﻱ ﺳﻼﻣﺖ ﻋﺪﻡ ﺭﻋﺎﻳﺖ ﻣﺤﺮﻣﺎﻧگﻲ ﺍﻃﻼﻋﺎﺕ ﺷﻬﺮﻭﻧﺪﺍﻥ ﻳﻜﺴﺎﻥ ﻧﺒﻮﺩﻥ آﻤﺎﺭ ﻭ ﺍﻃﻼﻋﺎﺕ ﺷﻬﺮﻭﻧﺪﺍﻥ ﺑﻴﻦ ﻣﺮﺍﻛﺰ ﺩﺭﻣﺎﻧﻲ، ﺣﻤﺎﻳﺘﻲ ﻭ ﺑﻴﻤﻪﺍﻱ

ﺗﺠﺎﺭﺏ ﺑﺮﺗﺮ ﺩﻧﻱﺎ Health Infoway, Canada NHIN – U. S. CHF, Microsoft, U. S. Health Connected, Australia Open. EHR, DMP, Ocean Informatics, Australia France BEHR, Denmark

EHR ﺷﺪﻩ ﻧﻤﻮﻧﻪﺍﻱ ﺍﺯﺳﻱﺴﺘﻢ ﺗﻮﺯﻱﻊ ﻧﻤﻮﻧﻪ ﻣﻌﻤﺎﺭﻱ Ancillary Data & Services Registries Data & Services Client Registry Outbreak Management EHR Data & Services PHS Reporting Shared Health Record Drug Information Diagnostic Imaging Data Warehouse Health Information Laboratory Provider Registry Location Registry Business Rules EHR Index Message Structures Terminology Registry Normalization Rules Longitudinal Record Services Security Mgmt Data Privacy Data Configuration Common Services HIAL Communication Bus Public Health Services Public Health Provider Pharmacy System Pharmacist Radiology Center PACS/RIS Radiologist Lab System (LIS) Lab Clinician Hospital, LTC, CCC, EPR Physician/ Provider Physician Office EMR Physician/ Provider EHR Viewer Physician/ Provider

1 پﺮﻭﻧﺪﻩﺍﻟکﺘﺮﻭﻧﻱکﻱﺳﻼﻣﺖ ﻣﺤﻠﻱ – ﺷﻤﺎﺭﻩ Health Information Data Warehouse Ancillary Data & Services EHR Data & Services Registries Data & Services Longitudinal Record Services Point of Service Application Health Information Data Warehouse Ancillary Data & Services EHR Data & Services Registries Data & Services Longitudinal Record Services Health Information Access Layer Point of Service Application 2 پﺮﻭﻧﺪﻩﺍﻟکﺘﺮﻭﻧﻱکﻱﺳﻼﻣﺖ ﻣﺤﻠﻱ – ﺷﻤﺎﺭﻩ EHR Viewer Point of Service Application EHR Viewer

ﻣﻌﻤﺎﺭﻱ ﻣﻔﻬﻮﻣﻲ ) (Conceptual Architecture ﺧﺼﻮﺻﻱﺎﺕ کﻠﻱپﺮﻭﻧﺪﻩﺍﻟکﺘﺮﻭﻧﻱکﻱ ﺳﻼﻣﺖ ﻣﺎﻧﻨﺪ 80381 ISO ﻭ ﺷﺎﺧﺺﻫﺎﻱ CCHIT ﻣﺒﺘﻨﻱ ﺑﺮکﺴﺐ ﻭ کﺎﺭ ﺳﻼﻣﺖ ﻭ ﻣﺮﺗﺒﻂ ﺑﺎ ﻣﻌﻤﺎﺭﻱ ﺳﺎﺯﻣﺎﻧﻱ ) (EA ﻣﻌﻤﺎﺭﻱ ﻣﺮﺟﻊ ) (Reference Architecture ﺍﻧﻮﺍﻉ ﻻﻱﻪﻫﺎ ﺩﺭ ﻣﻌﻤﺎﺭﻱﺳﻱﺴﺘﻢ ﻭﻣﺸﺨﺼﺎﺕ ﻫﺮﻱک ﻣﺎﻧﻨﺪ RIM ﻣﺎﻧﻨﺪ Open. EHR ﻭ HL 7 RIM ﻭ ﻣﻌﻤﺎﺭﻱ ﻣﺮﺟﻊ ﺗﺠﺎﺭﺏ ﺑﺮﺗﺮ ﺩﻧﻱﺎ ﻣﻌﻤﺎﺭﻱﺳﻴﺴﺘﻢ ) (System Architecture ﺟﺰﺋﻱﺎﺕﺳﻱﺴﺘﻢ ﻧﻬﺎﻱﻱ ﻣﺎﻧﻨﺪﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﺍﺑﺰﺍﺭﻫﺎﻱ ﻣﺘﻦﺑﺎﺯ ﻭﻣﺸﺨﺼﺎﺕ ﻓﻨﺎﻭﺭﻱ پﻱﺎﺩﻩﺳﺎﺯﻱ ) (ITS

CCHIT (Certification Commission ) for Healthcare Information Technology ﺳﻴﺴﺘﻢ EHR ﺑﺎﻳﺴﺘﻲ: ﺑﺘﻮﺍﻧﺪ ﺍﻃﻼﻋﺎﺕﺩﻣﻮگﺮﺍﻓﻲﺷﻬﺮﻭﻧﺪﺍﻥ ﺭﺍ ﺑﻪﻋﻨﻮﺍﻥ ﻗﺴﻤﺘﻲ ﺍﺯﺳﻮﺍﺑﻖ ﺳﻼﻣﺖ آﻨﻬﺎ ﺛﺒﺖ ﻧﻤﺎﻳﺪ ﻭ ﺗﻮﺍﻧﺎﻳﻲ ﺍﺻﻼﺡ آﻦ ﺭﺍ ﺩﺍﺷﺘﻪ ﺑﺎﺷﺪ. ﺗﺎﺭﻳﺨچﻪ ﻭﺿﻌﻴﺖ ﺳﻼﻣﺖ ﺍﻓﺮﺍﺩ ﺭﺍ ﻧگﻬﺪﺍﺭﻱ ﻧﻤﺎﻳﺪ. ﻗﺎﺑﻠﻴﺖ ﺗﻬﻴﻪگﺰﺍﺭﺷﺎﺕ ﻣﺨﺘﻠﻒ ﺭﺍ ﺩﺍﺷﺘﻪ ﺑﺎﺷﺪ. ﺗﻮﺍﻧﺎﻳﻲ ﺭﺳﻢﻫﻨﺪﺳﻲ ﻗﺪ ﻭ ﻭﺯﻥ ﺩﺭ ﻃﻮﻝ ﻋﻤﺮ ﺭﺍ ﺩﺍﺷﺘﻪ ﺑﺎﺷﺪ. ﺑﺘﻮﺍﻧﺪ ﻧﺴﺨﻪپﺸﺘﻴﺒﺎﻥ ) (Backup ﺍﺯ ﺍﻃﻼﻋﺎﺕ ﺛﺒﺖ ﺷﺪﻩ، ﻣﺠﻮﺯﻫﺎﻱ ﺍﻣﻨﻴﺘﻲ ﻭﺣﺴﺎﺑﺮﺳﻲ ﺭﺍ ﺍﻳﺠﺎﺩ ﻛﻨﺪ.

ﺳﻴﺴﺘﻢ EHR ﺑﺎﻳﺴﺘﻲ: 80381 ISO ﻗﺎﺑﻠﻴﺖ ﺫﺧﻴﺮﻩ ﻭ ﺑﺎﺯﻳﺎﺑﻲ ﺍﻃﻼﻋﺎﺕگﺴﺘﺮﺩﻩ ﻣﺮﺗﺒﻂ ﺑﺎ ﺳﻼﻣﺖ ﺍﻓﺮﺍﺩ ﺭﺍ ﺩﺍﺷﺘﻪ ﺑﺎﺷﺪ. ﺗﻮﺍﻧﺎﻳﻲ ﺛﺒﺖ ﻭ پﻴگﻴﺮﻱﺩﺳﺘﻮﺭﺍﺕ ﺑﺎﻟﻴﻨﻲ ﺭﺍ ﺩﺍﺷﺘﻪ ﺑﺎﺷﺪ. ﻗﺎﺑﻠﻴﺖﺟﺴﺘﺠﻮﻱ ﺩﺍﺩﻩ ﻫﺎ ﺑﺮﺍﻱ ﻣﺼﺎﺭﻑ ﻣﺨﺘﻠﻒ ﺭﺍ ﺩﺍﺷﺘﻪ ﺑﺎﺷﺪ. ﺗﻮﺍﻧﺎﻳﻲ ﺛﺒﺖ، ﺍﺻﻼﺡ، ﺑﺎﺯﻳﺎﺑﻲ، ﺍﻧﺘﻘﺎﻝ ﻭ ﺣﺬﻑ ﺩﺍﺩﻩ ﻫﺎ ﺭﺍ ﺩﺍﺷﺘﻪ ﺑﺎﺷﺪ. ﻗﺎﺑﻠﻴﺖپﺮﺩﺍﺯﺵ ﺣﺠﻢ ﺑﺎﻻﻱ ﺍﻃﻼﻋﺎﺕ ﻭ ﺗﺮﺍﻛﻨﺶ ﻫﺎ ﺭﺍ ﺩﺍﺷﺘﻪ ﺑﺎﺷﺪ. ﺍﻣﻜﺎﻥ ﺗﺒﺎﺩﻝ ﺗﻤﺎﻡ ﻳﺎ ﺑﺨﺸﻲ ﺍﺯپﺮﻭﻧﺪﻩﺷﻬﺮﻭﻧﺪ ﺭﺍ ﺩﺍﺷﺘﻪ ﺑﺎﺷﺪ.

ﻧﺮﻡﺍﻓﺰﺍﺭﻫﺎﻱ ﻣﺘﻦﺑﺎﺯ Open. EHR Open. Vist. A OSCAR Care 2 x Free. Med …

ﻣﻔﺎﻫﻱﻢ ﻭ ﺍﺳﺘﺎﻧﺪﺍﺭﺩﻫﺎ

ﻣﻬﻤﺘﺮﻳﻦﺍﺳﺘﺎﻧﺪﺍﺭﺩﻫﺎ ﻭ چﺎﺭچﻮﺑﻬﺎ • CEN – 13606 • Health Level Seven (HL 7) • Clinical Data Architecture (CDA) • GEHR => Open. EHR • ISO – 18308 • ASTM

ﻣﻔﺎﻫﻱﻢ ﻣﻮﺟﻮﺩ ﺩﺭ EHR ﻣﺪﻝﻫﺎﻱ ﺍﻃﻼﻋﺎﺗﻱ ) (IM HL 7 RMIM ،DIM ،RIM

EHR ﻣﻔﺎﻫﻱﻢ ﻣﻮﺟﻮﺩ ﺩﺭ CEN/ISO 13606 RM ،Entry ،Section ،Composition ،Folder ،EHR_Extract Element ،Cluster

EHR ﻣﻔﺎﻫﻱﻢ ﻣﻮﺟﻮﺩ ﺩﺭ Archetype ADL Template

ﺑﺮﺧﻱ ﻧﻱﺎﺯﻣﻨﺪﻱﻫﺎﻱﺳﻱﺴﺘﻢ EHR ﻋﺪﻡﻭﺍﺑﺴﺘگﻱ ﺑﻪ ﺩﺍﺩﻩﻫﺎﻱ ﺳﻼﻣﺖ ﺑﻪ ﻃﻮﺭﻱ کﻪ ﺑﺮﺍﻱ ﺛﺒﺖ ﻭ ﺑﺎﺯﻱﺎﺑﻱ ﺩﺍﺩﻩ ﺟﺪﻱﺪ ﻧﻱﺎﺯ ﺑﻪ ﺗﻐﻱﻱﺮ ﺩﺭ کﺪ ﻧﺮﻡﺍﻓﺰﺍﺭ ﻱﺎ ﺑﺎﻧکﺍﻃﻼﻋﺎﺗﻱ ﻧﺒﺎﺷﺪ. ﺍﻣکﺎﻥ ﺫﺧﻱﺮﻩ ﻭ ﺑﺎﺯﻱﺎﺑﻱ ﺍﻃﻼﻋﺎﺕ ﺳﻼﻣﺖگﺬﺷﺘﻪ، ﺣﺎﻝ ﻭ آﻱﻨﺪﻩﺷﻬﺮﻭﻧﺪ ﻣﺸﺎﻭﺭﻩ ﺍﺯ ﺭﺍﻩ ﺩﻭﺭ ﺗﻌﺮﻱﻒ ﻣﻔﺎﻫﻱﻢ ﺩﺍﻧﺶپﺰﺷکﻱ ) ،(Ontology ﺳﺎﺧﺘﺎﺭ ﺩﺍﺩﻩﻫﺎﻱ ﺳﻼﻣﺖ ﻭﺳﻱﺴﺘﻢﻫﺎﻱکﺪگﺬﺍﺭﻱ، Normalization ﺩﺍﺩﻩﻫﺎ ﻗﺎﺑﻠﻱﺖ ﺗﻮﻟﻱﺪگﺰﺍﺭﺷﺎﺕ ﻣﺘﻨﻮﻉ ﺑﺎ ﻣﺨﻔﻱ ﻣﺎﻧﺪﻥ ﻫﻮﻱﺖ ﺷﻬﺮﻭﻧﺪﺍﻥ ﻗﺎﺑﻠﻱﺖ ﺗﻌﺮﻱﻒﺳﻱﺎﺳﺖﻫﺎﻱ ﺍﻣﻨﻱﺘﻱ

ﺳﻱﺴﺘﻢﻫﺸﺪﺍﺭ ﺳﺮﻱﻊ ﺛﺒﺖ ﺑﻱﻤﺎﺭﻱﻫﺎﻱ ﺧﺎﺹ ) (Registry ﺩﺍﺭﺍﻱ ﻣﻮﻟﺪ گﺰﺍﺭﺵ ﻭ ﻋﺪﻡﻣﺤﺪﻭﺩﻱﺖ ﺩﺭ گﺰﺍﺭﺵگﻱﺮﻱ ﺷﻬﺮﻭﻧﺪﻣﺤﻮﺭ ﻏﻱﺮﺷﻬﺮﻭﻧﺪﻣﺤﻮﺭ ﻭ ﺳﻱﺴﺘﻢ کﺎﻣﻼﻱکپﺎﺭچﻪ ﺩﺭ ﻻﻱﻪ Presentation ﺣﻔﻆﻱکپﺎﺭچگﻱ ﺑﺎ ﺗﻐﻱﻱﺮﺗﺮﻣﻱﻨﻮﻟﻮژﻱﻫﺎ ﻭ ﺳﺎﺧﺘﺎﺭ ﺩﺍﺩﻩﻫﺎﻱ ﺳﻼﻣﺖ ﺯﻱﺮﺳﺎﺧﺘﻱ ﺑﺮﺍﻱ ﺗﻮﺳﻌﻪ ﺳﻼﻣﺖﺍﻟکﺘﺮﻭﻧﻱکﻱ: ﻧﺴﺨﻪ ﺍﻟکﺘﺮﻭﻧﻱکﻱ، کﺎﺭﺕ ﻫﻮﺷﻤﻨﺪ ﺳﻼﻣﺖ، ﻧﻮﺑﺖﺩﻫﻱﺍﻟکﺘﺮﻭﻧﻱکﻱ، ﻣﺸﺎﻭﺭﻩ ﺍﺯ ﺭﺍﻩ ﺩﻭﺭ، ﻣﺮکﺰ ﺗﻤﺎﺱ ﻭ. . . ﻗﺎﺑﻠﻱﺖ ﺭﺩﻱﺎﺑﻱ،کﺸﻒ ﻭ ﺗﺤﻤﻞ ﻧﻘﺺ ) (Fault ﻗﺎﺑﻠﻱﺖﺩﺳﺘﺮﺳﻱ 99/99 ﺩﺭﺻﺪ

ﻋﺪﻡﻭﺍﺑﺴﺘگﻱ ﺑﻪکﺸﻮﺭ ﻱﺎ ﺷﺮکﺘﻱ ﺧﺎﺹ ﻣﺤﺮﻣﺎﻧگﻱ، ﺍﻣﻨﻱﺖ، ﻗﺎﺑﻠﻱﺖ ﺍﻋﺘﻤﺎﺩ ﻭ ﺻﺤﺖ ﺩﺍﺩﻩﻫﺎ ﺩﺭ ﻻﻱﻪﻫﺎﻱ ﻣﺨﺘﻠﻒ ﺍﺯ ﻗﺒﻱﻞ ﺍﻧﺘﻘﺎﻝ ﺍﻃﻼﻋﺎﺕ )پﻱﺎﻡﻫﺎ(، ﺳﺮﻭﻱﺲﻫﺎ، ﺍﻓﺰﺍﺭﻫﺎ، ﺑﺎﻧکﻫﺎﻱ ﺍﻃﻼﻋﺎﺗﻱ، پﺸﺘﻱﺒﺎﻥﻫﺎ ﻭ. . . ﺣﻔﻆ ﺷﻮﺩ، ﺑﻪ ﻧﺮﻡ ﻃﻮﺭﻱ کﻪ ﺣﺘﻱ ﻣﺪﻱﺮ ﺳﻱﺴﺘﻢ ﻧﻱﺰ ﻧﺘﻮﺍﻧﺪ ﺑﻪ ﺍﻃﻼﻋﺎﺕ ﺳﻼﻣﺖ ﻓﺮﺩ ﺧﺎﺹﺩﺳﺘﺮﺳﻱ ﺩﺍﺷﺘﻪ ﺑﺎﺷﺪ. ﻭ. . . ﺩﺭ ﺗﻌﺮﻱﻒ ﻗﺒﻠﻱ Wikipedia ﺍﺯ : EHR ﺗﺎکﻨﻮﻥ )6002( ﻫﻱچ EHR ﺍﻱﺪﻩآﻠﻱ ﺩﺭ ﺩﻧﻱﺎ ﻣﺤﻘﻖ ﻧﺸﺪﻩ ﺍﺳﺖ !

ﺳﻄﻮﺡ ﻣﺨﺘﻠﻒﺳﻱﺴﺘﻢ ﻣﺮکﺰ ﻣﺪﻱﺮﻱﺖ آﻤﺎﺭ ﻭ ﻓﻨﺎﻭﺭﻱ ﺍﻃﻼﻋﺎﺕ 3 ﺩﺍﻧﺸگﺎﻩ ﻋﻠﻮﻡپﺰﺷﻜﻲ ﻣﺮکﺰﺑﻬﺪﺍﺷﺖ ﺑﻱﻤﺎﺭﺳﺘﺎﻥ 2 ﺍﺑﺰﺍﺭﻫﺎﻱ ﻗﺎﺑﻞ ﺣﻤﻞ ﺗﺠﻬﻱﺰﺍﺕ پﺰﺷکﻱ 1

کﺎﺭﺕﻫﻮﺷﻤﻨﺪ ﺩﺭﺑﻬﺪﺍﺷﺖ ﻭ ﺩﺭﻣﺎﻥ ﻣﻮﺍﺭﺩﺍﺳﺘﻔﺎﺩﻩ : ﺗﺸﺨﻱﺺ ﻫﻮﻱﺖ ﺑﻱﻤﺎﺭﺍﻥ ﻭ ﻣﺘﺨﺼﺼﻱﻦ ﺳﻼﻣﺖ ﺩﻓﺘﺮچﻪ ﺑﻱﻤﻪ ﻭ ﻧﺴﺨﻪ ﺍﻟکﺘﺮﻭﻧﻱکﻱ ﻣﺨﺰﻥ ﺍﻃﻼﻋﺎﺕ پﺰﺷکﻱ ﺑﻱﻤﺎﺭ پﺮﺩﺍﺧﺖ کﻨﻨﺪﻩ ﺑﻱﻤﻪ ﺍﺭﺗﺒﺎﻁ ﺑﺎ ﺳﺎﻱﺮ کﺎﺭﺑﺮﺩﻫﺎﻱ ﻏﻱﺮﻫﻤﺠﻨﺲ )ﻣﺎﻧﻨﺪ کﺎﺭﺕ ﺑﺎﻧکﻱ ﻭ. . . ( . . .

ﻓﻮﺍﻱﺪﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ کﺎﺭﺕ ﻫﻮﺷﻤﻨﺪ ﺩﺭ ﺣﻮﺯﻩ ﺳﻼﻣﺖ ﺑﺎﺯﻱﺎﺑﻱ ﺳﺮﻱﻊ ﻭ آﺴﺎﻥ ﺍﻃﻼﻋﺎﺕ ﺧﺪﻣﺎﺕ ﺳﺮﻱﻊﺗﺮ ﻭ ﺑﻬﺘﺮ ﺷﺎﻣﻞ کﺎﻫﺶ ﺯﻣﺎﻥ پﺬﻱﺮﺵ ﻭ ﺗﺮﺧﻱﺺ، ﺍﻃﻼﻉ ﺍﺯ ﺍﺟﺎﺯﻩ ﺍﻫﺪﺍﻱ ﻋﻀﻮ ﺩﺭ ﺑﻱﻤﺎﺭﺍﻥ ﻣﺮگ ﻣﻐﺰﻱ کﺎﻫﺶ کﺎﻏﺬ )ﻧﺴﺨﻪ( ﻭ کﺎﻫﺶ ﻫﺰﻱﻨﻪ ﻫﺎﻱ ﺍﺩﺍﺭﻱ ﺍﻓﺰﺍﻱﺶﺗﺴﻬﻱﻼﺕ ﺑﻪ ﺑﻱﻤﺎﺭﺍﻥ ﺑﺮﻗﺮﺍﺭﻱ ﺍﻣﻨﻱﺖ ﺑﻱﺸﺘﺮ ﺩﺭ ﺩﺳﺘﺮﺳﻱ ﺑﻪ ﺍﻃﻼﻋﺎﺕ ﺣﺬﻑﺍﺷﺘﺒﺎﻫﺎﺕ ﻣکﺮﺭ ﺩﺭ ﻭﺭﻭﺩ ﺍﻃﻼﻋﺎﺕ ﺍﻣکﺎﻥ ﺗﺒﺎﺩﻝ ﺍﻃﻼﻋﺎﺕ ﺑﻱﻦ ﺳﺎﺯﻣﺎﻥﻫﺎﻱ ﻣﺨﺘﻠﻒ ﺟﻠﻮگﻱﺮﻱ ﺍﺯ ﺳﻮ ﺍﺳﺘﻔﺎﺩﻩﻫﺎ ﻭ ﺗﺨﻠﻔﺎﺕ ﺧﺼﻮﺻ ﺩﺭ ﺣﻮﺯﻩ ﺑﻱﻤﻪ ﺀ

ﺍﺟﺰﺍﻱﺳﻱﺴﺘﻢ ﻣﺮﺗﺒﻂ ﺑﺎکﺎﺭﺕﻫﻮﺷﻤﻨﺪ کﺎﺭﺕ ﻫﻮﺷﻤﻨﺪ ﺩﺳﺘگﺎﻩ کﺎﺭﺕﺧﻮﺍﻥ ﺍﻓﺰﺍﺭﻫﺎﻱ ﻣﺤﻠﻱ ﺍﻓﺰﺍﺭﻫﺎ ﻭ ﺳﺨﺖ ﻧﺮﻡ ﺍﻓﺰﺍﺭﻫﺎ ﺳﺎﻱﺮ ﺍﻓﺰﺍﺭﻫﺎ ﻭ ﺳﺨﺖ ﻧﺮﻡ

ﻣﺤﺘﻮﺍ ﻭ ﺳﺎﺧﺘﺎﺭ ﺩﺍﺩﻩ ﺍﺳﺘﺎﻧﺪﺍﺭﺩ 94512 ISO ﺩﺍﺩﻩﻫﺎﻱ ﻣﺮﺗﺒﻂ ﺑﺎ ﺍﺑﺰﺍﺭ / ﺑﺮﻧﺎﻣﻪ کﺎﺭﺕ: ﻧﺸﺎﻥﺩﻫﻨﺪﻩﻣﺸﺨﺼﺎﺕ ﺑﺮﻧﺎﻣﻪ ﺻﺪﻭﺭ کﺎﺭﺕ ﻣﻱﺑﺎﺷﺪ. ﺩﺍﺩﻩﻫﺎﻱ ﻫﻮﻱﺘﻱ: ﺍﻃﻼﻋﺎﺕﺩﻣﻮگﺮﺍﻓﻱک ﺻﺎﺣﺐ کﺎﺭﺕ ﺩﺭ ﺍﻱﻦ ﻗﺴﻤﺖ ﻭﺟﻮﺩ ﺩﺍﺭﺩ. ﺩﺍﺩﻩﻫﺎﻱ ﻣﺪﻱﺮﻱﺘﻱ/ﺍﺟﺮﺍﻱﻱ: ﻣﺎﻧﻨﺪ ﺍﻃﻼﻋﺎﺕ ﺑﻱﻤﻪﺍﻱ، ﺳﺎﻱﺮ ﺍﻃﻼﻋﺎﺕ ﺗکﻤﻱﻠﻱ ﺩﺍﺩﻩﻫﺎﻱ ﺑﺎﻟﻱﻨﻱ: ﺷﺎﻣﻞ ﺩﺍﺩﻩﻫﺎﻱ ﺑﺎﻟﻱﻨﻱ ﻣﺤﺪﻭﺩ )ﺩﺍﺩﻩﻫﺎﻱ ﺍﺳﺎﺳﻱ( ﻭ ﺩﺍﺩﻩﻫﺎﻱ ﺑﺎﻟﻱﻨﻱ ﺑﺴﻂﻱﺎﻓﺘﻪ )ﻗﺎﺑﻞ ﻧگﻬﺪﺍﺭﻱ ﺩﺭ ﺯﻣﺎﻥ ﺭﻓﻊﻣﺤﺪﻭﺩﻱﺖﻫﺎﻱﺗکﻨﻮﻟﻮژﻱکﻱ( پﻱﻮﻧﺪﻫﺎ: ﺍﺭﺟﺎﻉ ﺑﻪ ﺍﻃﻼﻋﺎﺕ ﺧﺎﺭﺝ ﺍﺯ کﺎﺭﺕ ﺩﺍﺩﻩﻫﺎﻱ ﻣﺮﺑﻮﻁ ﺑﻪﺗﺠﻮﻱﺰﻫﺎﻱپﺰﺷکﻱ: ﻣﺎﻧﻨﺪ ﻧﺴﺨﻪﺍﻟکﺘﺮﻭﻧﻱکﻱ ﺩﺍﺩﻩﻫﺎﻱ ﺍﻣﻨﻱﺘﻱ کﺎﺭﺕ: ﺑﺮﺍﻱ ﺣﻔﻆ ﺍﻣﻨﻱﺖ ﺩﺍﺩﻩﻫﺎﻱ کﺎﺭﺕ

ﻧﻈﺎﺭﺕ ﻧﺎﻣﺤﺴﻮﺱ ﺗﻮﻟﻱﺪ ﺩﺍﻧﺶ پﺰﺷکﻱ 6 3 ﺗﻐﻱﻱﺮ کﺴﺐ ﻭ کﺎﺭ ﺳﻼﻣﺖ ﻧﻈﺎﺭﺕ ﻭ ﺣﺴﺎﺑﺮﺳﻱ ﻣﺤﺴﻮﺱ 5 2 ﺧﺪﻣﺎﺕ ﻧﻮﻱﻦ ﺍﻟکﺘﺮﻭﻧﻱکﻱ ﻧﻈﺎﻡ آﻤﺎﺭﻱ 4 1

ﺗﻠﻔﻱﻖ ﺑﺎ ﺳﺎﻱﺮ ﻓﻨﺎﻭﺭﻱ ﻫﺎ ﻣﺎﻧﻨﺪ ﻧﺎﻧﻮ ﺗﻮﺳﻌﻪ ﺳﻱﺴﺘﻢ ﻫﺎﻱ کﺎﺭﺑﺮﺩﻱ پﻱﺸﺮﻓﺘﻪ 6 5 ﺗﻠﻔﻱﻖ ﻓﻨﺎﻭﺭﻱ ﻫﺎ ﺑﺎ ﻱکﺪﻱگﺮ ﺗﻮﺳﻌﻪ ﺳﻱﺴﺘﻢ ﻫﺎﻱ کﺎﺭﺑﺮﺩﻱ 4 3 ﺗﻮﺳﻌﻪ ﺍﻧﻔﻮﺭﻣﺎﺗﻱک پﺰﺷکﻱ ﺗﻮﺳﻌﻪ ﺍﻧﻔﻮﺭﻣﺎﺗﻱک ﺯﻱﺴﺘﻱ 2 1

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“Electronic Health Records Overview”, National Institutes of Health, National Center for Research Resources, The MITRE Corporation, April 2006 “EMR: Return on Investment”, Benchmark Systems, Healthcare Solution “Return On Investment (ROI) for the Ambulatory Electronic Medical Record”, HIMSS, Transforming healthcare trough IT J. Sidorov , “It Ain’t Necessarily So: The Electronic Health Record And The Unlikely Prospect of Reducing Health Care Costs”, Market. Watch, Health Affairs, Volume 25, Number 4, 2006 “Electronic health record”, Wikipedia, The Free Encyclopedia, http: //en. wikipedia. org/wiki/Electronic_health_record, 2008 L. Nicholson, “Electronic Health Records in the United Kingdom of Great Britain & Northern Ireland”, EHR Conference, Amsterdam, June 2008 M. Catz, J. Bayne, “Canada Health Infoway – A pan-Canadian Approach”, Canada Health Infoway, AMIA Annual Symposium Proc. , 2003 Open EHR Community, http: //www. openehr. org/

CEN/TC 251 - European Standardization of Health Informatics, http: //www. centc 251. org/ MARCO EICHELBERG, THOMAS ADEN and JORG RIESMEIER and ASUMAN DOGAC and GOKCE B. LALECI, “A Survey and Analysis of Electronic Healthcare Record Standards” Dr. Kai U. Heitmann M. D. , “HL 7 Clinical Document Architecture (CDA) - Introduction of the Clinical Document Architecture Release 2 in Germany” – The Sciphox experience CEN TC 251 – 13606 – “Health informatics - Electronic health record communication” Kibbe, David C. , “Open Source Electronic Health Record” Care 2 x Integrated Healthcare Environment, http: //www. care 2 x. com Free. Med Project, http: //www. freemed. org/ PICNIC – Professionals and Citizens Network for Integrated Care - Access to Patient Data Component Specifications Open source health care resources, http: //www. openhealth. com/

/ International Organization for Standardization, http: //www. iso. org » ﻣﻌﻤﺎﺭﻱپﺮﻭﻧﺪﻩﺍﻟکﺘﺮﻭﻧﻴکﻲ ﺳﻼﻣﺖ ﺍﻱﺮﺍﻥ «، ﻭﺯﺍﺭﺕ ﺑﻬﺪﺍﺷﺖ، ﺩﺭﻣﺎﻥ ﻭ آﻤﻮﺯﺵ پﺰﺷکﻱ، ﻣﺮکﺰ ﻣﺪﻱﺮﻱﺖ آﻤﺎﺭ ﻭ ﻓﻨﺎﻭﺭﻱ ﺍﻃﻼﻋﺎﺕ » ﻣﻄﺎﻟﻌﻪ ﺗﻄﺒﻱﻘﻱ ﺳﻼﻣﺖﺍﻟکﺘﺮﻭﻧﻱکﻱ ﺩﺭ ﺟﻬﺎﻥ «، ﺷﻮﺭﺍﻱ ﻋﺎﻟﻱ ﻓﻨﺎﻭﺭﻱ ﺍﻃﻼﻋﺎﺕ کﺸﻮﺭ، کﺎﺭگﺮﻭﻩ ﺳﻼﻣﺖ ﺍﻟکﺘﺮﻭﻧﻱکﻱ

گﻔﺘﻤﺶ ﺵ ﺭﺍ ﻧﻘﺸی ﺑکﺶ ﺍﺯ ﺯﻧﺪگی ﻧﻘﺎ ﺑﺎ ﻗﻠﻢ ﻧﻘﺶ ﺣﺒﺎﺑی ﺑﺮ ﻟﺐ ﺩﺭیﺎ کﺸیﺪ