Electronic health records are a summary of the various electronic medical records that get generated during any clinical encounter. Without standards, a lifelong summary is not possible as different records from different sources spread across ~80+ years will potentially need to be brought into one summary. To achieve this, a set of pre-defined standards for information exchange that includes images, clinical codes and a minimum data set is imperative.

This report provides a structured overview of the key EMR standards with respect to Indian conditions. A detailed discussion on the interoperability and standards that include a discussion on the goals, categories of adoption of standards, clinical standards, EMR/EHR, ownership, privacy and security aspects, healthcare informatics standards, and the various coding systems are carried out followed by the detailing of the minimum data set that any Indian EMR must have. A background on EMR and EHR and its use is provided, followed by a list of the various stakeholders. A short study of the efforts world-wide including country-wise analysis of similar efforts and their current state is also outlined.

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