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Electronic medical records: recommendations for routine. Report of the eHID (Electronic Health Indicator Data Project): the eHID project recommendations.

Pringle, M., Schellevis, F.G., Elliott, C., Fleming, D.M. Electronic medical records: recommendations for routine. Report of the eHID (Electronic Health Indicator Data Project): the eHID project recommendations. In: 13th Wonca Europe Conference, Parijs, 17-20 oktober 2007. Abstract on CD-rom.
Aims: eHID (electronic Health Indicator Data) is an EC sponsored project concerned with best practice in recording diagnostic data in routine ( as opposed to research specific) general practice electronic patient records. Design and methods: The project included investigation on site of recording routines within the practices, abstraction of selected data on disease incidence and prevalence, analysis after age based standardisation, interpretation of the results set within a framework of discussion among the participants reflecting the national differences in health care access and provision of services. Results: Eight practice based networks in seven countries participated over the period 2004-2007. All were able to provide incidence and prevalence data on diabetes and most also provided similar data on ischaemic heart disease which could be reasonably compared after due consideration of the healthcare systems from which they came. The provision of comparable data on mental illness presented more difficulties. The difficulties of making direct comparisons were identified and solutions to them derived from joint consideration of the data. The need for disciplined and consistent data capture is paramount. The optimum methods to achieve comparable data were formulated as recommendations which are presented for discussion in the workshop. Conclusions: Epidemiological comparisons can be made at international level using information collected in routine patient electronic medical records.