The need for Electronic Health Records (EHR) based Clinical Decision Support (CDS) in developing countries like India

  • Rengalakshmi Balasubramanian 9916239891


Electronic health records (EHRs), an integrated approach is gaining importance not only within healthcare organizations and with their related stakeholders but also with the clinical research studies. EHR-based clinical decision support (CDS) systems in clinical studies have been proven successful in many clinical studies. The World Health Organization has emphasised the necessity to revolutionise the healthcare system in all levels, from primary health care and community service to health care research and this started with the implementation of EHR services extensively in various health care systems. Further, American and European healthcare systems are keen in improving EHR-based measurements to enable interoperability for future integrations of multiple data sources, which in turn would prove beneficial in the global platform for not only to the provider, patient, and other healthcare stakeholders but also for clinical research studies. This paper discusses the EHR in clinical research, the challenges in the EHR, and the need for developing nations to adopt and develop EHR.

Keywords: Clinical Research; Clinical decision support (CDS); Electronic health records (EHR); Electronic Medical Records (EMR); Algorithms


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Chambers J, Fujimoto N. How EHRs facilitate clinical research. Appl Clin Trials; 2018 Feb.
2. Moor GDe , Sundgren M, Kalra D, Schmidt A, Dugas M, Claerhout B, et al. Using electronic health records for clinical research: The case of the EHR4CR project. J Biomed Inform. 2015; 53:162-73.
3. Thomson MK, Barr MS, Gardner LA, Baker DW, Walker JM, Badlaniet S, et al. EHR - Based Quality Measurement & Reporting: Critical for Meaningful Use and Health Care Improvement. A Policy Paper of the American College of Physicians; 2010.
4. Cowie MR, Blomster JI, Curtis LH, Duclaux S, Ford I, Goldman S, et al. Electronic Health Records to facilitate clinical research. Clin Res Cardiol. 2017; 106(1):1-9.
5. Navaneethan SD, Jolly SE, Sharp J, Jain A, Schold JD, Schreiber MJ, Jr, et al. Electronic health records: A new tool to combat chronic kidney disease? Clin Nephrol. 2013; 79(3):175–183. doi: 10.5414/CN1077 57.
6. Sperl-Hillen JM, Averbeck B, Palattao K, Amundson J, Ekstrom H, Rush B, et al. Outpatient EHR-based diabetes clinical decision support that works: Lessons learned from implementing Diabetes Wizard. Diabetes Spectr [Internet]. TGA; 2010 [cited 2019 Nov 09]; 23(3):150-4. Available from:
7. O’Connor PJ, Sperl-Hillen JM, Rush WA , Johnson PE, Amundson JH, Asche SE, et al. C-B4-03: EMR-based clinical decision support system improved glucose and blood pressure control in adults with diabetes. Clin Med Res. 2010; 8(1):48.
8. Carroll RJ, Eyler AE, Denny JC. Naïve Electronic Health Record Phenotype Identification for Rheumatoid Arthritis. AMIA Annual Symposium Proceedings. 2011; 2011:189-96.
9. Gill JM, Mainous AG, Koopman RJ, Player MS, Everett CJ, Chen YX, et al. Impact of EHR-based clinical decision support on adherence to guidelines for patients on NSAIDs: A randomized controlled trial. Ann Fam Med. [Internet]. TGA; 2011 [cited 2019 Nov 29]; 1/2011(9):22–30. Available from:
10. Ozair FF, Jamshed N, Sharma A, Aggarwal P. Ethical issues in electronic health records: A general overview. Perspect Clin Res. 2015; 6(2):73-6. doi: 10.4103/2229-3485.153997.
11. Mukul. EHRs in India: Challenges and Opportunities vis-a’-vis’ Ayushman Bharat. Ehealth; 2018 Dec.
12. Srivastava SK. Adoption of electronic health records: A roadmap for India. Healthc Inform Res. 2016; 22(4):261-9. doi: 10.4258/hir.2016.22.4.261.
13. Scholl J, Shabbir SA, Ahmed LA. A case study of an EMR system at a large hospital in India: Challenges and strategies for successful adoption. J Biomed Inform. 2011; 44(6): 958-67.
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How to Cite
Balasubramanian, R. “The Need for Electronic Health Records (EHR) Based Clinical Decision Support (CDS) in Developing Countries Like India”. International Journal of Drug Regulatory Affairs, Vol. 7, no. 4, Dec. 2019, pp. 36-39, doi:10.22270/ijdra.v7i4.368.