Establishment and Utilization of Electronic Health Records in Iran: A Review of the Policy Documents of the Past Four Decades

Background: This study presents the legal obligations set for main stakeholders in establishment and implementation of electronic health (e-health) records Iran investigates fulfillment these obligations. Methods: qualitative was conducted using document analysis. The research population comprised all documents, laws, reports, policies utilization Iran. Sampling purposive, internal documents were included until end May 2022. A data extraction form used to collect data, Scott's criterion select documents. Descriptive analysis analyze data. Results: Based on 56% sentences implemented, 22% not enforced according assigned tasks. status execution tasks by players also extracted. most important drafting security privacy regulations, providing conditions receiving copies e-records, creating automation Ministry Health Medical Education instead e-health system, instability integrated portal exchanging information disconnection majority service centers, eliminating extension validity paper booklets, operationalizing online entitlement first phase prescription project, inserting nursing notes records, recording financial administrative clinical ones, refusal numerous doctors write prescriptions, an alternative method two-step verification signature, progress coding drug authenticity, non-implementation medical equipment coding. Conclusions: Reviewing enforcement approvals revealed that format actions since 2018 has ended with a positive result. achievement so far been prescription, while it should be noted is only part record project.