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Understanding Electronic Health Records

This chapter discusses electronic health records (EHRs) and related concepts. It defines key terms like EHR, PHR, EMR and interoperability. The benefits of EHRs are outlined as enabling electronic documentation, maintenance of medication and problem lists, and exchange of clinical information. Barriers of paper-based systems like storage and search difficulties are also described. Components of EHRs are listed as well as steps for development. Country-specific EHR experiences in places like Ethiopia are to be explored.

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0% found this document useful (0 votes)
17 views10 pages

Understanding Electronic Health Records

This chapter discusses electronic health records (EHRs) and related concepts. It defines key terms like EHR, PHR, EMR and interoperability. The benefits of EHRs are outlined as enabling electronic documentation, maintenance of medication and problem lists, and exchange of clinical information. Barriers of paper-based systems like storage and search difficulties are also described. Components of EHRs are listed as well as steps for development. Country-specific EHR experiences in places like Ethiopia are to be explored.

Uploaded by

aynu gebre
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

Chapter Two

Fundamental to EHR
Chapter Objectives
At the completion of this chapter the students
will be able to:
 Define EHR and related terms
 List components of EHR
 Explain benefits and barriers of EHR 
 Describe clinical information system
 Verfy steps of EHR development 
 Explain global and hands on practices on

country EHR experiences (Tenna care,


Hospital based Information system) 
Brainstorming
 Personal Health Record (PHR)

 Electronic Medical Record (EMR)

 Electronic Health Record (EHR)

 Interoperability

 Standardization 3
Why EHR?
Objectives
 Enable a user to electronically record, modify and retrieve
patient data
 Maintain the patient’s active medication list
 Maintain an up-to-date problem list current and active
diagnosis
 Computerize physician order entry (CPOE) of medications
 Capability to exchange key clinical information among
providers of care and patient-authorized entities electronically.

4
Introduction to EHR...cont’d
Problem of paper-based medical record
system.......
It occupies space
Search and retrieval are time consuming &
difficult
Misplacement leads to loss of record
Patients cannot easily get appointment and
treatment related information
Doesn’t provide decision support system
Introduction to EHR...cont’d

Problem of paper-based medical record


system.......
 Medical records are written by hand and illegible to
everyone otherwise their authors
 Paper medical records cannot be searched for
keywords and do not have indices
 Paper medical records cannot be aggregated for study,
but must be examined one by one
 Summarizing, analysing and presenting information to
all the concerned bodies is time consuming, error
prone and tedious
Introduction to EHR...cont’d
What is Electronic Health Records (EHRs)?
 Often used interchangeably with electronic
medical records (EMRs).
 Allows the electronic entry, storage, and
maintenance of digital medical data.
 Contains the patient's records from doctors and
includes demographics, test results, medical
history, history of present illness (HPI), and
medications.
7
Introduction to EHR...cont’d
What is electronic Health record?...
 EHR encompasses the information and
capabilities required to support healthcare
service delivery where the information is
captured in a computer-readable form that
support interoperability and clinical
decision support.

8
Introduction to EHR...cont’d
What is electronic health record?...
 EHR is a representation of all a patient’s data
that would originally be found in the paper
based record.

 EHR contains all information ranging from


pathology, radiology, and clinical information
that has been combined and structured in a
digital form
9
Introduction to EHR...cont’d
What is electronic medical record?...
 Generally EMRs are part of EHRs and
contains:
 Patient registration, billing, preventive screenings,
or checkups

 Patient appointment and scheduling


 Tracking patient data over time
 Monitoring and improving overall quality of care
10

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