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.
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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.
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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.
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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
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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
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