Shahrekord University of Medical Sciences Epidemiology and Health System Journal 2980-7891 11 2 2024 06 15 Advancing Healthcare Infrastructure: The Features of Iran’s Sina Electronic Health Record System 48 54 10.34172/ehsj.26105 EN Mehdi Norouzi https://orcid.org/0009-0008-7118-3074 Zahra Amiri https://orcid.org/0009-0008-3920-4496 Ehsan Mosa Farkhani https://orcid.org/0000-0002-0474-5611 Seyed Javad Hoseini https://orcid.org/0000-0002-9836-7745 Tahereh Khosravi Asl https://orcid.org/0000-0001-5326-020X Journal Article 10.34172/ehsj.26105 2023 11 27 2024 05 19 Background and aims: The Sina Electronic Health Record (SinaEHR) system was developed to support primary care delivery across Iran by enabling chronic disease monitoring, infectious disease surveillance, health policy decision-making, and quality improvement initiatives. Methods: The SinaEHR system was implemented by Mashhad University of Medical Sciences which contains health records of over 5 million people across various regions of Iran. It utilizes the International Classification of Diseases (ICD) version 10, integrating laboratory results through a laboratory information system to facilitate real-time clinical decision-making. Results: Widespread implementation of the SinaEHR system has established an invaluable healthcare infrastructure resource for the improvement of primary care services across Iran. Strict security and confidentiality measures are enforced to protect sensitive patient information. Conclusion: The SinaEHR system significantly advances Iran’s healthcare infrastructure by providing a comprehensive electronic health record platform to improve healthcare delivery and promote evidence-based decision-making.