Paula Kotzé Rosemary Foster
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Primary healthcare, e-health, patient-centric healthinformation systems, public health informatics.
The development and use of national guidelines for the
exchange of patient-centric healthcare data from electronic medical record systems are essential for the
consistent and efficient use and analysis of those data.
These guidelines must be based on a core national data
model. This paper proposes a basic conceptual data model
for primary healthcare patient-centric electronic medical
record systems, derived for the South African district
health system context, which would provide a suitable set
of information to ensure continuity and longitudinality of
patient-centric healthcare information. The data model
was compiled based on the characteristics of the district –
based primary healthcare model, data collected from best
practices internationally regarding continuity of care,
typical healthcare protocols, a study of public healthcare
district hospital information systems and both public and
private primary healthcare information systems.