Are you referring to Electronic medical record? If so, don't have any ready sample but few things I'd like to emphasize if you're starting to build such system from scratch.
From
Wikipedia[
^]:
- Electronic medical records, like medical records, must be kept in unaltered form and authenticated by the creator.[19] Under data protection legislation, responsibility for patient records (irrespective of the form they are kept in) is always on the creator and custodian of the record, usually a health care practice or facility. This includes films and tracings from diagnostic imaging procedures such as X-ray, CT, PET, MRI, ultrasound, etc. The patient, however, according to HIPAA, has a right to view the originals, and to obtain copies under law.[20]
- A major concern is adequate confidentiality of the individual records being managed electronically
- Though there are few standards for modern day EMR systems as a whole, there are many standards relating to specific aspects of EMRs. These include:
- HL7 - messages format for interchange between different record systems and practice management systems.
- ANSI X12 (EDI) - A set of transaction protocols used in the US for transmitting virtually any aspect of patient data.
- CEN - CONTSYS (EN 13940), a system of concepts to support continuity of care.
- CEN - EHRcom (EN 13606), a standard for the communication of information from EHR systems.
- CEN - HISA (EN 12967), a services standard for inter-system communication in a clinical information environment.
- DICOM - a standard for representing and communicating radiology images and reporting
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