Electronic Health Record System - PowerPoint PPT Presentation

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Electronic Health Record System

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Electronic medical record. Electronic Health record. Functional ... For example, laboratory, pharmacy, data entry & results, medical dictionary, & billing. ... – PowerPoint PPT presentation

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Title: Electronic Health Record System


1
Chapter 12
  • Electronic Health Record System

2
Difference
  • Computer patient record
  • Electronic medical record
  • Electronic Health record

3
Functional Components of an HER
  • Integrated view of Patient Data
  • Data must be able to interface with a variety of
    systems. For example, laboratory, pharmacy, data
    entry results, medical dictionary, billing.

4
  • 2. Clinical Decision Support. Support for the
    physician in formulating his or her assessment of
    the patients condition and making ordering
    decision at the point of care.

5
  • 3. Clinician Order Entry
  • Assist clinicians in providing decision support
    during the order-entry process.
  • For example, allergy alerts, calculating correct
    dosage etc

6
  • 4. Access to Knowledge Resources
  • Knowledge resources include (but not limitied
    to) PubMed, and other library resources.

7
  • 5.Integrated Communication and Reporting Support.
  • Communication between clinicians, prompt
    notification of results.

8
Validation Checks
  • EHR should have validity checks to assist with
    clinical information

9
Legal Social Issues
  • Legislation of EHR standards.
  • Federal Laws (CMS policies, Federal register,
    HIPAA)

10
Costs Benefits
  • Purchase or Created within organization?
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