Analysis and evaluation of the Electronic Health Record standard in China: A comparison with the American national standard ASTM E 1384

► We compared the Chinese EHR Standard with ASTM E 1384 Standard. ► We compared the conformance of the two standards to ISO/TS 18308. ► We find that the Chinese EHR Standard lacks sufficient support for secondary uses. ► It is necessary to follow ISO standards to build a EHR standard. ► The EHR standard should be generic and flexible.