Electronic Health Records and Interoperability for Pediatric Care

  • George R. Kim
  • Christoph U. Lehmann
Part of the Health Informatics book series (HI)


Electronic health records (EHRs) are a central structure in the improvement of the quality and safety of medical care. Set as a national goal for 2014,1 universal adoption of EHRs has been cited as a chief pathway by which medical errors can be reduced and costs saved.


National Health Service Electronic Health Record Health Level Health Information Technology Personal Health Record 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Bush GW. State of the Union Address. Washington, DC: US Capitol; 20 Jan. 2004.Google Scholar
  2. 2.
    Japanese Association of Healthcare Information Systems. Classification of EMR systems. JAHIS; 1996;V1.1.Google Scholar
  3. 3.
    NHS Executive. Information for Health: An Information Strategy for the Modern NHS 1998–2005; 2005.Google Scholar
  4. 4.
    International Standards Organization. Health Informatics — Electronic Health Record — Definition, scope and context. ISO/TR 20514:2005(E).Google Scholar
  5. 5.
    Dick R, Steen E. The computer-based patient record: an essential technology for health care. US National Academy of Sciences, Institute of Medicine.Google Scholar
  6. 6.
    Committee European Normalisation Health Informatics Technical Committee. Health Informatics — Electronic healthcare record communication — Part 1: Extended architecture. ENV13606–1, CEN/TC 251; 2000.Google Scholar
  7. 7.
    Institute of Medicine. Key Capabilities of an Electronic Health Record System: Letter Report. Washington, DC: National Academies Press; 2003. Available at: php?record_id=10781. Accessed December 21, 2008.Google Scholar
  8. 8.
    Health Level 7 Electronic Health Record Technical Committee (HL7 EHR TC). Electronic Health Record-System Functional Model, Release 1, February 2007. Available at: http://www. Accessed December 21, 2008.
  9. 9.
    Health Level 7 Electronic Health Record Technical Committee (HL7 EHR TC). EHR Interoperability Model with EHR Data Exchange Criteria: Draft Standard for Trial Use, Release 1, February 2007. Available at: Accessed December 21, 2008.
  10. 10.
    Spooner SA, Council on Clinical Information Technology, American Academy of Pediatrics. Special requirements of electronic health record systems in pediatrics. Pediatrics. 2007;119(3):631–637.PubMedCrossRefGoogle Scholar
  11. 11.
    Health Level Seven Pediatric Data Standards Special Interest Group (PeDSSIG). HL7 Child Health; 2008. Available at: Accessed December 21, 2008.
  12. 12.
    Health Level Seven Child Health Functional Profile Workgroup Pediatric Data Standards Special Interest Group (PeDSSIG). Health Level Seven. Child Health Functional Profile, Final Version 1.0. National Institute of Standards and Technology. Functional Profile Registry; 2007. Available at: jsp?id=urn:uuid:6f4d2971-e61f-458d-8aa8-878d6c9dea06. Accessed December 21, 2008.
  13. 13.
    Child Health Expert Panel, Certification Commission for Healthcare Information Technology (CCHIT). Child Health Expert Panel Website; 2008. Available at: childhealth/. Accessed December 21, 2008.
  14. 14.
    Orlova AO, Dunnagan M, Finitzo T, et al. Electronic health record — public health (EHR-PH) system prototype for interoperability in 21st century healthcare systems. AMIA Annu Symp Proc. 2005;575–579.Google Scholar
  15. 15.
    Simonian M. The electronic medical record. Pediatr Rev. 2007;28(10):e69–76.PubMedCrossRefGoogle Scholar
  16. 16.
    Kemper AR, Uren RL, Clark SJ. Adoption of electronic health records in primary care pedi-atric practices. Pediatrics. 2006;118(1):e20–24.PubMedCrossRefGoogle Scholar
  17. 17.
    ASTM International. E2369-05 Standard Specification for Continuity of Care Record (CCR). ASTM International, West Conshohocken, PA; 2007. Available at: Accessed December 21, 2008.Google Scholar
  18. 18.
    American National Standards Institute. ANSI Website; 2008. Available at: http://www.ansi. org/. Accessed December 21, 2008.
  19. 19.
    Kibbe DC. The ASTM Continuity of Care Record, CCR, Standard: A Brief Description for a Non-Technical Audience. Continuity of Care Standard Resource Site; 2007. Available at: Accessed December 21, 2008.
  20. 20.
    Schneider JH. Continuity of care record aims to ease transfer of patient information. AAP News. 2004;24:222.Google Scholar
  21. 21.
    Dolin RH, Alschuler L, Beebe C, et al. The HL7 Clinical Document Architecture. J Am Med Inform Assoc. 2001;8(6):552–569.PubMedGoogle Scholar
  22. 22.
    Dolin RH, Alschuler L, Boyer S, et al. HL7 Clinical Document Architecture, Release 2. J Am Med Inform Assoc. 2006;13(1):30–39.PubMedCrossRefGoogle Scholar
  23. 23.
    Ferranti JM, Musser RC, Kawamoto K, Hammond WE. The clinical document architecture and the continuity of care record: a critical analysis. J Am Med Inform Assoc. 2006;13(3):245–252.PubMedCrossRefGoogle Scholar
  24. 24.
    Altshuler L. Health Level Seven Content and Interoperability Standards Panel. HL7 Clinical Document Architecture (CDA::CCR::CCD). American Health Information Management Association Long Term Care Health Information Technology Summit, June 9, 2006, Baltimore, MD; 2006. Available at: Alschuler_HITinLTCPanel.June06.rev.ppt. Accessed December 21, 2008.
  25. 25.
    Health Level Seven, ASTM International. HL7 Continuity of Care Document, a Healthcare IT Interoperability Standard, is Approved by Balloting Process and Endorsed by Healthcare IT Standards Panel, Press Release; February 12, 2007. Available at: documentcenter/public/pressreleases/20070212.pdf. Accessed December 21, 2008.
  26. 26.
    Kim GR, Lehmann CU and the Council on Clinical Information Technology. Pediatric Aspects of Inpatient Health Information Technology Systems. Pediatrics 2008;122(6):e1287–e1296.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • George R. Kim
    • Christoph U. Lehmann

      There are no affiliations available

      Personalised recommendations