ElectronicHealthcare 9(3) December 2010 : e40-e51
HIMSS Analytics Column

Newfoundland and Labrador's E-health Journey: Implementing Canada's First Interoperable Provincial Electronic Health Record

Patrick Powers


The last eight years have been promising times for Newfoundland and Labrador's (NL) e-health journey. Canada Health Infoway has identified the province as an emerging leader in developing an EHR. The province's unique personal identifier could be replicated to other jurisdictions that are developing a Client Registry.

To date, NL has implemented a Client Registry, Provider Registry, and all its diagnostic imaging/picture archiving and communications systems are linked to a single provincial system. As of late 2009, the Centre realized another important milestone when it executed on years of planning and development to begin deployment of the provincial drug information system – the Pharmacy Network. In the early years of the new millennium, the province's efforts to lead Newfoundland and Labrador's healthcare stakeholders, as well as the rest of Canada, can be seen in developing a fully functional interoperable EHR (iEHR), integrating the foundational components of client and provider registries, and a DI/PACS system and a drug information system. With five of six EHR components already implemented or installation in process, and the last iEHR/labs component slated for complete installation no later than 2013, the province appears within striking distance of meeting Canada Health Infoway's deadline of 2015 for all provinces to integrate their iEHR solutions in a pan-Canadian iEHR.



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