Journal of Health and Biomedical Informatics

Introduction: In order to the implementation of “SEPAS" which is the development of electronic health Records in Iran, the creation and documentation of the essential data in the HIS seems necessary. The purpose of this study was to evaluate comptability of the hospital information systems (HIS) in Kerman teaching, Private and Social Security hospitals with minimum clinical data set developed by Iran’s Ministry of Health.

Method: This study was a descriptive cross-sectional study. The checklist developed by the Ministry of Health was used to evaluate the compliance with minimum data set (MDS) in 5 HISs of 9 teaching, private and social security hospitals. The study was conducted in the second half of 2014 in the City of Kerman, Iran.

Results: The results showed that, software No.2 had the highest conformity level (%100) for the “medication and medical consumables data”, and (%97) in “Paraclinical data”, software No.5 had the lowest conformity levels (%79) and (%86) for the two forgoing indexes, respectively. It was also found that none of the HISs contained sub-categories of “diagnosis & death” data set including data on the “morphology of neoplasm” as well as “the place and time of death”.

Conclusion: Given the importance of the MDS in integrating the data relating to the patients, implementation of the MDS developed by the Ministry of Health in the HISs is quite substantial by the system’s developers as well as ensuring its registration by the system users in the medical centers.