摘要：The electronic health record structure and the general interoperability of the eHealth systems and solutions represent the cornerstones on which the continuity of patients care is based on at a regional, national or pan-European level. This continuity is sustained by better and cheaper electronic services. Currently there is still no common agreement regarding standards, norms and laws to allow a general interoperability of e-Health, but this future is not far - a relatively large number of associations and organizations are quite advanced in developing the necessary standards and in some countries the national public health system with eServices is quite developed [***10a]. The interoperability of eHealth systems is their ability to work together to ensure the continuity of health care. This essentially involves the use of the same data structures (EHR, and others), which must be understood identically by all the systems and the ability to exchange messages on the communications lines (public networks like the Internet, private or dedicated), the messages being carriers of information. In addition, the interoperability must refer to a multitude of other issues such as the interoperability of the electronic identity (people, organizations and systems), medical terminology, licensed medical recommendations etc
关键词：Interoperability; electronic system; electronic health record; evaluation; quality; certification; standards for data transmission; technical and functional requirements; design; implementation
