This document provides a structured overview of the key EHR standards with respect to Indian healthcare system. For every aspect of data/information that is part of any healthcare record system has been addressed with a short guideline regarding implementation specific to the item-in-context included. Various nonrelated recommendations from previous edition have been removed to better streamline the set of standards selected and achieve harmony among them. A detailed recommendation on the interoperability and standards, clinical informatics standards, data ownership, privacy and security aspects, and the various coding systems are also provided. The set of standards given in earlier edition has been updated with their latest versions as the country moves towards a better implementation.