Order No. 75 of 10.02.14 approved:
- Standard requirements for electronic health record;
- Standard requirements for electronic medical record;
- Standard requirements for the identification of patients, health workers, health organizations;
- Technical requirements for interaction (communication) with e-health information systems;
- Regulations for ensuring information security.
The standard requirements for the electronic health record define the approaches to the formation of the EHR, which ensure the collection of all key information about a person's health and the medical care provided to him, regardless of the time and place of the provision of medical services; describes the requirements for consolidation and structuring of data to maintain the clinical context. It defines a PHC physician as moderator of an individual person's EHR. It also describes the life cycle of the electronic health record from creation to archiving. The standard requirements for the electronic medical record define the requirements for information generated outside of primary health care to form a minimum set of data for provision in the EHR.
The requirements for the identification of patients, medical organizations and medical workers are defined in the standard requirements for the identification of acting health actors.
The two remaining regulations are technical and designed to define the requirements for interaction (communication) with e-health information systems, electronic documents and medical images, and the definition of information security requirements. The standard interoperability requirements are based on the HL7 standards (HL7 v3, CDA R2) and DICOM.
The implementation of these requirements enables interaction of systems that do not have an identical architecture or internal representation of stored data. In other words it will not matter in which information system the medical data is formed, the main thing is that they are structured and transmitted in a readable format. The regulation on information security establishes the basic requirements for ensuring the confidentiality of personal medical data in e-health processes, the differentiation of access rights to electronic information resources containing personal medical data, as well as the procedures for the work and interaction of responsible persons in the protection of information.
Order No. 210 of April 22, 2014 approved:
- Standard requirements for an united classifier of medicines, medical devices and medical equipment;
- Standard requirements for the implementation and regulation of electronic directions;
- Stakeholders’ interaction procedure;
- Classifier of laboratory investigations.
The requirements for the implementation of electronic directions in the model of the EHR and interrelated services, the rules of interaction of interested parties with a view to ensure interoperability of information systems and management of information flows were approved by the second order in 2014. Also, this order specifies the requirements for the unified classifier for medicines, medical devices and medical equipment, and a classifier for laboratory assessments.
Order of the Minister of Healthcare of the Republic of Kazakhstan of April 22, 2014 No. 210 "On the introduction of amendments to the Order of a.i. Minister of Health of February 10, 2014 № 75 "On the approval of technical documentation on e-health issues"
The Order of the Ministry of Health of the Republic of Kazakhstan of July 20, 2015, No. 600 "On the Approval of Health Informatization Standards":
- The standard for regulating the management of recipes in electronic format;
- The standard for the management of electronic processes for diagnostic studies and treatment procedures;
- The standard for the regulation of electronic prevention.
The standards of the main clinical e-health processes were developed and approved in 2015 by the Order of the Ministry of Health of the Republic of Kazakhstan of July 20, 2015, No. 600 "On the Approval of Health Informatization Standards"; The standard for regulating the management of recipes in electronic format determines the procedure for the procedures of the electronic prescription service, determines the minimum amount of information for prescribing, the sale of the medicinal product and medical products under the prescription, the notification of the issuance of medicines and medical products; The standard for the management of electronic processes for diagnostic studies and treatment procedures regulates the collection of clinical data, electronic directions for diagnostic studies and treatment procedures, and also identifies classifiers and identifiers for the normalization of clinical data in the process of referring to medical services and obtaining the results of diagnostic studies through the EHR. The standard for the regulation of electronic prevention provides planning, execution and registration of primary, secondary and tertiary preventive medical services for the patient.