Difference between revisions of "Electronic health record"

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====HIMSS====
====HIMSS====
In 2006, the Healthcare Information and Management Systems Society (HIMSS) noted in its white paper ''Electronic Medical Records vs. Electronic Health Records: Yes, There Is a Difference'' "electronic health record" (EHR) and "electronic medical record" (EMR) are "completely different concepts."<ref name="HIMSSemrvsehr">{{cite web |url=http://www.himssanalytics.org/docs/wp_emr_ehr.pdf |title=Electronic Medical Records vs. Electronic Health Records: Yes, There Is a Difference |author=Garets, Dave; Davis, Mike |publisher=HIMSS Analytics, LLC |date=26 January 2006 |accessdate=08 May 2013}}</ref> HIMSS made the following distinctions for the two:
In 2006, the Healthcare Information and Management Systems Society (HIMSS) noted in its white paper ''Electronic Medical Records vs. Electronic Health Records: Yes, There Is a Difference'' "electronic health record" (EHR) and "electronic medical record" (EMR) are "completely different concepts." HIMSS made the following distinctions for the two<ref name="HIMSSemrvsehr">{{cite web |url=http://www.himssanalytics.org/docs/wp_emr_ehr.pdf |title=Electronic Medical Records vs. Electronic Health Records: Yes, There Is a Difference |author=Garets, Dave; Davis, Mike |publisher=HIMSS Analytics, LLC |date=26 January 2006 |accessdate=08 May 2013}}</ref>:


* '''electronic medical record''': An application environment composed of the clinical data repository, clinical decision support, controlled medical vocabulary, order entry, computerized provider order entry, pharmacy, and clinical documentation applications. This environment supports the patient's electronic medical record across inpatient and outpatient environments, and is used by healthcare practitioners to document, monitor, and manage health care delivery within a care delivery organization (CDO).
* '''electronic medical record''': An application environment composed of the clinical data repository, clinical decision support, controlled medical vocabulary, order entry, computerized provider order entry, pharmacy, and clinical documentation applications. This environment supports the patient's electronic medical record across inpatient and outpatient environments, and is used by healthcare practitioners to document, monitor, and manage health care delivery within a care delivery organization (CDO).

Revision as of 21:54, 8 May 2013

An electronic health record (EHR) is an evolving concept, "defined as a longitudinal collection of electronic health information about individual patients and populations."[1] It is a record in digital format that is theoretically capable of being shared across different health care settings. In some cases this sharing can occur by way of network-connected enterprise-wide information systems and other information networks or exchanges. EHRs may include a range of data, including demographics, medical history, medication and allergies, immunization status, laboratory test results, radiology images, vital signs, personal stats like age and weight, and billing information.

EHR vs. EMR

U.S.-centric view

HIMSS

In 2006, the Healthcare Information and Management Systems Society (HIMSS) noted in its white paper Electronic Medical Records vs. Electronic Health Records: Yes, There Is a Difference "electronic health record" (EHR) and "electronic medical record" (EMR) are "completely different concepts." HIMSS made the following distinctions for the two[2]:

  • electronic medical record: An application environment composed of the clinical data repository, clinical decision support, controlled medical vocabulary, order entry, computerized provider order entry, pharmacy, and clinical documentation applications. This environment supports the patient's electronic medical record across inpatient and outpatient environments, and is used by healthcare practitioners to document, monitor, and manage health care delivery within a care delivery organization (CDO).
  • electronic health record: A subset of each care delivery organization's EMR ... [that] is owned by the patient and has patient input and access that spans episodes of care across multiple CDOs within a community, region, or state (or in some countries, the entire country).

HHS

In 2011 the U.S. Department of Health and Human Services (HHS) noted that despite the interchanging of the terms "EMR" and "EHR," it considers them two separate entities. The HHS notes early on in the realm of digital record keeping in healthcare, the EMR came first, used primarily by medical clinicians for diagnosis and treatment. However, the concept evolved, and the EHR came into existence as a more holistic, inclusive collection of a patient's health data, "designed to reach out beyond the health organization that originally collects and compiles the information." The HHS notes how the EHR "moves with the patient — to the specialist, the hospital, the nursing home, the next state or even across the country," while "information in EMRs doesn't travel easily out of the practice."[3]

References

  1. Gunter, T.D.; Terry, N.P. (Jan–Mar 2005). "The Emergence of National Electronic Health Record Architectures in the United States and Australia: Models, Costs, and Questions". Journal of Medical Internet Research 7 (1). doi:10.2196/jmir.7.1.e3. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1550638/. Retrieved 08 May 2013. 
  2. Garets, Dave; Davis, Mike (26 January 2006). "Electronic Medical Records vs. Electronic Health Records: Yes, There Is a Difference". HIMSS Analytics, LLC. http://www.himssanalytics.org/docs/wp_emr_ehr.pdf. Retrieved 08 May 2013. 
  3. Garrett, Peter; Seidman, Joshua (4 January 2011). "EMR vs EHR – What is the Difference?". Health IT Buzz. U.S. Department of Health and Human Services. http://www.healthit.gov/buzz-blog/electronic-health-and-medical-records/emr-vs-ehr-difference/. Retrieved 08 May 2013.