EHR Standards across various countries

Various countries have drafted EHR/EMR standards for ensuring patient safety, privacy, data protection, etc. This information can help in ensuring the EMR/HMIS you choose to adopt and implement in accordance with the local laws. Note, that in most cases, it is not just the product, but the actual end-to-end implementation, which includes the product, operations, infrastructure, operating procedures and practices, etc – that together need to be certified. The following page lists some of the important standards and policy documents for your reference. Please do let us know if you believe these are out-of-date, or some other references should be added.

Please also refer this document (mentions the support for various global standards in Bahmni):

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Electronic Health Record (EHR) Standards - 2016

India (Ministry of Health and Family Welfare)

Provides a structured overview of the key EHR standards with respect to Indian healthcare


EHR Standards for India

India (National Resource Center for EHR Standards)

List of standards approved (or under development) for India, maintained by NRCeS, CDAC. Also maintained on the “Standards” TAB here:


ABDM Policy Standards Documents

India (National Health Authority)

A series of documents for India’s National eHealth Strategy (evolving standard).


Privacy Guidelines for the
Implementation of the Philippine Health Information Exchange


Prescribe the procedures and guidelines that ensure the
protection of the privacy of a patient.


WHO Legal Frameworks for Health

WHO (Global)

[2012] Based on the findings of the second global survey on eHealth.


Standards for Electronic Health Record (EHR) in Ethiopia (2021)

Ethiopia (Ministry of Health)

A comprehensive and detailed EHR standards document by MoH Ethiopia which is over 100+ pages, covering a lot of details on features, standards, data model, terminologies, security, implementation requirements, etc.


Overview of national laws on EHRs

EU Members

Overview of EHR laws across EU Member states


National laws on EHRs in UK


UK specific national laws for EHRs


SAFER Guides

US Department of Health

These 9 guides identify recommended practices to optimize the safety and safe use of EHRs.


ISO 18308:2011: Requirements for an electronic health record architecture

ISO (Global)

The requirements are formulated to ensure that these EHRs are faithful to the needs of healthcare delivery, are clinically valid and reliable, are ethically sound, meet prevailing legal requirements, support good clinical practice and facilitate data analysis for a multitude of purposes.


Outpatient Electronic Medical Record Adoption Model (O-EMRAM)

HIMSS (US/Global)

The HIMSS Outpatient Electronic Medical Record Adoption Model (O-EMRAM) is used to assess EMR implementation for outpatient facilities of hospitals and health systems globally, guiding the data-driven advancement of facilities through EMR technology.



US Department of Health

The HIPAA Privacy Rule establishes national standards to protect individuals' medical records and other individually identifiable health information (collectively defined as “protected health information”) and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically.

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