Knowledge Management Infrastructure for the Success of Electronic Health Records

2. Literature Review

Reports show that developed countries (USA, UK, Australia, Canada and New Zealand) are focused towards developing national (NEHR) where USA has a theoretical unimplemented plan while Canada is still setting up the network architecture. All these countries intend to take advantage of Internet technology with languages like XML for safe transmission of interoperation data. Standardization is necessary for all these countries to achieve a successful NEHR implementation and data privacy sustenance. The ICT infrastructure is a pre-requisite for NEHR development to facilitate interoperability. Canada intends to deploy a distributed database framework with PKI standard, HCI to improve user-friendly NEHR and a broad bandwidth Internet service. New Zealand looks into knowledge management architecture. UK gives priority to a technical architecture with IT network for reliability and security upon common set of standards towards clinical data transfer within hospitals. Currently architecture lacks the ability to start NEHR but promises to utilize EHR. US report a need for common standards to support interoperability so to connect technology like teleHealth, web services and security technology health information exchange (A Research Center of the University of Sheffield and CITY Liberal Studies 2005).