本文件规定了在电子健康记录系统之间，或在电子健康记录系统与中央电子健康记录数据存储库之间，对一个或多个确定的护理对象的部分或全部电子健康记录进行通信的方法。它还可用于EHR系统或存储库与需要访问或提供EHR数据的临床应用程序或中间件组件（如决策支持组件）或个人健康应用程序和设备之间的EHR通信，或作为分布式（联邦）记录系统中EHR数据的表示。本文件将主要用于支持对可识别个人的直接护理或个人自理，或支持疾病登记和公共卫生监督等人口监测系统。将健康记录用于其他目的，如教学、临床审计、管理和报告、服务管理、研究和流行病学，这些目的往往需要匿名化或汇总个人记录，这些都不是本文件的重点，但此类二次使用也可能会发现本文件很有用。多部分系列的第1部分是由开放分布式处理定义的信息视点规范？参考模型:概述（ISO\/IEC 10746-1）。本文件不打算指定EHR系统的内部架构或数据库设计。

This document specifies a means for communicating part or all of the electronic health record (EHR) of one or more identified subjects of care between EHR systems, or between EHR systems and a centralised EHR data repository. It can also be used for EHR communication between an EHR system or repository and clinical applications or middleware components (such as decision support components), or personal health applications and devices, that need to access or provide EHR data, or as the representation of EHR data within a distributed (federated) record system. This document will predominantly be used to support the direct care given to identifiable individuals or self-care by individuals themselves, or to support population monitoring systems such as disease registries and public health surveillance. Uses of health records for other purposes such as teaching, clinical audit, administration and reporting, service management, research and epidemiology, which often require anonymization or aggregation of individual records, are not the focus of this document but such secondary uses might also find the document useful. This Part 1 of the multipart series is an Information Viewpoint specification as defined by the Open Distributed Processing?Reference model: Overview (ISO/IEC 10746-1). This document is not intended to specify the internal architecture or database design of EHR systems.