Electronic Health Record from a Historical Perspective Flashcards
catalyst of EHR
improve patient medical care
when was EHR developed
early 1960s
first clinics to utilize the EHR system
mayo clinic and medical center hosp. of vermont
what are the infos and functionalities available in the EHR sytem
drug dosae, side effects, allergies, drug interactions, patient info., drug info., medical alerts, warnings, disease management, and electronic diagnostic and treatment plan
adapt to a person’s voice and speech patterns so that the computer inputs the data as the operator speaks
voice recognition systems
another method of data entry aside from voice recognition pattern systems
electronic handwriting recognition
2 methods of data entry
voice recognition systems and electronic handwriting recogniton
large bodies of preset text
templates
enables computers to communicate together and utilize main server for the database
local area network (LAN)
enable HC providers full or open access to their EHRs anywhere within the office
wireless LAN networks
increased the availability of medical databases that can be shared and accessed across large distances
secure and access is limited
data flowing is also encrypted for privacy
internet and intranet technologies
“the medical practice does not house the software on a computer server at the medical office
application server provider (ASP) or web-based EHR
the EHR is accessed by the HC provider via internet
application server provider (ASP) or web-based EHR
what are the 3 concerns of application server provider or web-based EHR
- security of EHR
- speed of the downloading and uploading images or large files
- ensuring that the internet connectivity is always available
storing and accessing patient medical info electronically
EHR - electronic health record
range of functionalities and information of EHR
patient demographics
progress notes
problems
medications
vital signs
past medical history
immunizations
laboratory data
radiology results
care alerts
chief complaints
e-prescribing
health maintenance
what are the two functionalities that may be added to EHR in the future
continuity of care record and personal health record
second to the fully functional EHR
electronic medical record
does not offer high end functionalities such as health maintenance and disease management, care alerts, the CCR or continuity of care record, personal health record, or interconnectivity with providers outside the practice
electronice medical record
first used to conceptualized the idea of EHR
computer-based patient record
a lifetime patient record that includes all information from all specialties and is available to all providers
computer-based patient record
not realistic in foreseeable future
computer-based patient record
similar to CPR but does not necessarily contain a patient’s lifetime record and does not include dental, behavioral, or alternative care
it focuses on the patient’s relevant medical information
electronice patient record (EPR)
health-provider oriented
continuity of care record
a core set of data reflecting the most relevant and timely facts about a patient’s health care
continuity of care record
a subset of EHR
continuity of care record
allows patient to become an interactive source of health information and health management through an internet-based connection to the practice website
personal health record
allows patient to schedule appointments, request medication refills, access lab and radiolog results, and ask questions about their health
personal health record
affects the ability to meet users demands for rapid response, system reliability, future growth, and cutomization
technology
