The Health informatics - Electronic Health Record Communication (EN 13606) was the European Standard for an information architecture to communicate Electronic Health Records (EHR) of a patient. The standard was later adopted as ISO 13606 and later replaced with ISO 13606-2 and recently ISO 13606-5:2010. ^[1]

This standard was intended to support the interoperability of systems and components that need to communicate (access, transfer, add or modify) EHR data via electronic messages or as distributed objects:

• preserving the original clinical meaning intended by the author;
• reflecting the confidentiality of that data as intended by the author and patient.