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Experiences and perspectives

Browse through stories and videos shared by clinicians, patient, and health care administrators on the journey to better health care through improved connection and access to health information.

An ambulatory electronic medical record (aEMR) is a computer-based medical record specific to a clinician, practice or organization. It is the record a clinician maintains on patients attending a specialty clinic and details patient and provider demographics, medical and drug history, and diagnostic information such as laboratory results and findings from diagnostic imaging. Ambulatory EMRs are deployed in community and hospital outpatient settings.

Infoway's Approach to Ambulatory EMR Certification Services

A Single Pan-Canadian Program - One certification program for Ambulatory EMR products that allows both national and jurisdiction classes of certification as required

Integrated Assessment - A single set of Ambulatory EMR criteria, test cases and test data

Seamless Process - A simple, integrated process provided either by Infowayor the provincial/territorial governments for product vendors to certify their Ambulatory EMRs

Integrated with Ambulatory EMR Programs - A certification approach that supports Ambulatory EMR programs within the provinces and territories

Evolves Over Time - A certification approach based on recognized industry standards that will continue to evolve as aEMR products mature

Scope

Infoway's pre-implementation certification for ambulatory electronic medical records is offered either as a National or Jurisdiction class:

  • National Class Certification- Available for Ambulatory EMR products that meet the requisite privacy, security and interoperability assessment criteria. Product vendors may make application to Infoway at any time for national class certification.
  • Jurisdiction Class Certification - Available for Ambulatory EMR products that meet the requisite privacy, security and jurisdiction-specific interoperability assessment criteria. Products eligible for jurisdiction class certification are identified by provincial/territorial investment partners of Canada Health Infoway. 

Certification Criteria

Infoway's pre-implementation certification uses three categories of assessment criteria to evaluate standalone and hosted Ambulatory EMR products:

  • Privacy criteria are based on Infoway's Privacy and Security Conceptual Architecture as well as the Canadian Standards Association model code for the protection of personal information (CAN-CSA-Q830-03).
  • Security criteria are based on Infoway's Privacy and Security Conceptual Architecture as well as the International Organization for Standardization's (ISO) codes of practice for health information system security management (ISO 27799, ISO 17799, ISO 27001, ISO 27002).
  • Interoperability criteria are based on national standards for the following domains:
  • Client Registry (EMR-1)
  • Laboratory (EMR-2) 
  • Drugs (EMR-3)
  • Clinical Reports (EMR-4)
  • Patient context sharing (EMR-5)

For National class certification, four of these domains  (EMR-1, EMR-2, EMR-3 and EMR-4) are assessed. For jurisdiction class certification, at least one domain is assessed.

Ambulatory Electronic Medical Record (aEMR) Certification Criteria

Solution

Privacy

Limiting use, disclosure and retention

Consent

Security

User identity management

Access control

Data integrity

Data confidentiality

Logging

Audit

Interoperability

Client demographics

Laboratory

Drug

Clinical reports