FDI World Dental Federation
Electronic Health Records
Diese Leitlinie umfasst 6 Empfehlungen und 2 Literaturangaben.
Inhalt auf Englisch
Zusammenfassung
An FDI World Dental Federation policy statement outlining the objectives, potential benefits, and key principles (trust, equity, wider research value, interoperability, and multidisciplinary development) for implementing and integrating Electronic Health Records (EHRs) in oral healthcare.
Electronic health records (EHRs) are becoming the standard for documenting oral healthcare for clinical, administrative, remuneration, and research purposes. Depending on integration levels, EHRs aim to maintain patient info, support administration, transmit data, and facilitate epidemiological or public health research.
Kernaussagen
Integrated EHRs combine medical and dental data to provide a comprehensive, holistic view of patient health, enhancing care coordination.
EHR implementation must ensure trust and data security through compliant legislation and secure, defined access rules.
EHR usage should support WHO's Universal Healthcare and Health for All approach, fostering equity and avoiding social/medical inequities.
EHRs should use common data models and adhere to standards like FHIR and DICOM to support research and public health surveillance.
EHR systems should be developed by multidisciplinary teams and regularly evaluated for clinical efficiency and data quality.
Empfehlungen
Policy
Ensure trust and confidence. EHRs store confidential data; access to and transmission of these data should be secure and purpose related, including defined and enforceable access rules. EHRs should track any changes made after they were originally written.
Foster equity and accessibility. The usage of EHRs should facilitate WHO’s Universal Healthcare and Health for All approach, and should not perpetuate or aggravate existing social or medical inequities. Patients should be able to access their EHRs without any significant hurdles. Providers should be adequately trained to use EHRs judiciously, being aware of the various objectives involved when employing them, as well as the need for adhering to local data protection legislation.
Consider the wider value of EHRs when developing, acquiring and using them. EHRs will play a pivotal role for a data-driven oral health research model, allowing better and safer, highly efficient, individualized care. Similarly, health surveillance and public health management will increasingly rely on EHR data. Models should be developed and implemented to encourage patients to provide their data for public research and surveillance while ensuring transparent data use and robust anonymisation/de-identification. In case of commercial research and development efforts, data donors should benefit from their data being used.
To facilitate data-driven care and public health, EHRs should use a common data model and ensure interoperability and accessibility. The oral health community should support initiatives around standardisation and adhere to and enforce standards like Fast Health Interoperability Resources (FHIR, https://fhir.org) or Digital Imaging and Communications in Medicine (DICOM, https://www.dicomstandard.org).
Assess the impact of EHRs and their usage on relevant stakeholders. There is a great need for interdisciplinary development teams to ensure that those who use EHRs can do so efficiently and with confidence. Similarly, development and maintenance costs for EHR systems should be considered. The integration of oral health information into shared electronic health records is essential to support coordinated, person-centered care and to recognise oral health as an integral component of overall health.
Regularly evaluate EHR systems to assess their sustained impact on patient information, administration, data quality and clinical efficiency.
