Comparative study of information management standards: An approach to implementing electronic health record


Zahra Meidani 1 , * , Reza Safdari 2 , Gholamreza Farshidfar 3 , Parvin Lakbala 4


1 Instructor, Department of Medical Records, Hormozgan University Of Medical Sciences, Banda Abbas, Iran.

2 Assistant Professor, Department of Medical Records, Tehran University Of Medical Sciences, Tehran, Iran.

3 Assistant Professor, Department of Biochemistry, Hormozgan University Of Medical Sciences, Bandar Abbas, Iran.

4 Instructor, Department of Medical Records, Hormozgan University Of Medical Sciences, Bandar Abbas, Iran.


Hormozgan Medical Journal: 10 (2); e89811
Published Online: July 05, 2006
Article Type: Research Article
Received: September 18, 2005
Accepted: July 05, 2006




Introduction: The accreditation information management (IM) standards by
affecting various aspects of the EHR have a strong impact on the adoption of the
EHR systems. Regarding this importance, conducting a comparative study related
to IM standards in pioneer countries can facilitate a standardization movement for
developing IM standards and reviewing medical records standards in our country.
Methods: This is a comparative-descriptive study in which the IM standards for
the national accreditation agencies of Canada (CCHSA), USA (JCAHO) and New
Zealand (QHNZ) were collected and investigated through the internet, and e-mail.
Results: The finding of the study revealed that adopted IM standards in these
countries focus on the timely entry, defining the time frame within which record
must be completed, standardized methods of defining, coding, classifying,
gathering data from various sources, linking and combining different types of
information from outside and inside the organization and confidentiality.
Conclusion: Generally, all agencies relying upon IM standards, not only improve
information management processes, medical records and ensuring health care
quality, but also provide a basis for reinforcement of health information systems
and EHR. Because information management processes and medical records in our
country have many shortcomings and deficiencies, a standardization movement in
order to develop IM standards and reviewing medical records standards regarding
to EHR is a necessity.


Medical Records – Medical Records Systems Computerized – Information Management - Accreditation

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