Electronic health record

These data can then be fed into electronic medical records (EMR) such as those the NHS plans to introduce throughout the UK over the next 2 years. This represents a process that will ultimately both reduce the frequency with which patients have to visit their doctor and improve health care delivery. EMR or electronic personal health records (as they are also known) have already been established, or are being established, in many European nations, such as Denmark. The United States, with its decentralized health care industry, is behind the curve in these efforts. However, in early fall of 2005, IBM and eight other IT companies that form the Technology CEO Council (TCC), including Intel, HP, Dell, Motorola, EMC, Applied Materials, NCR, and Unisys committed to adopt electronic health records based on open standards. In addition to these private sector efforts, the US Department of... 

Cincinnati Children s Hospital Medical Center, the 2003 recipient of the prestigious Healthcare Information Management and Systems Society s (HIMSS) Nicholas E. Davies Award of Excellence for Electronic Health Record (eHR), was able to reduce medication errors by 35% and decrease medication turnaround time by 52% through the use of an integrated clinical information system. 

E 1769-95 Standard Guide for Properties of Electronic Health Records and Record Systems... 

E 1384-99 Standard Guide for Content and Structure of the Electronic Health Record... 

Carets D, Davis M. 2006. Electronic medical records vs. electronic health records Yes, there is a difference, white paper, HIMSS Analytics, Chicago, www. himssanalytics.org. 

AGPI is unique in time and space and is used for integrating, on an individual basis, the de-identified health records gathered from multiple institutions in different jurisdictions and at different times. AGPI is an opaque alphanumeric structure to be used as the primary key to associate (one-way longitudinal integration of personal health records) de-identified health records from various sources to construct personal EHR (electronic health record) as depicted in figure 6.2. 

The horizontal services include (but are not limited to) demographic registries, services for dynamic construction of lifetime personal health record, electronic health record management services, global person identification services, clinical and financial data integration services, information management services, electronic collaboration services, clinical decision services, and interdisciplinary coordination services. 

Longitudinal electronic health records as the term is often used not only to the reference to the digital patient record but also to imply capture and abstraction of clinical data. It may include the ability to encode (categorize) diagnosis and procedures. 

Electronic health record + genomic, lifestyle, etc. —> Anonymous record ... 

The secure electronic data vault hides the content of the electronic health record and other documents from others, including system/data administrators, by storing the documents scrambled (i.e., encrypted) so that only the document owner can decipher (i.e., decrypt) the document. The secure electronic data vault hides the existence of a PHR as well as its content from others, including system/data administrators, by storing the metadata (i.e., the information about the document) encrypted so that only the trusted custodian may get the information about the document and by storing the document encrypted so that only the document owner can decrypt it. 

Again, we spill out the horrendous numbers one out of every 25 in-patients becomes a victim of a medical accident. Some 195,000 people die of medical accidents every year. The actual figure might be twice of that, and medicine has the worst accident rate of any US industry. Substandard care in America kills over 57,000 people and wastes over 9 billion annually. Physicians drive 80% of the cost. So the Bush administration quickly committed 100 million, and congressional bi-partisan effort has been behind the introduction of legislation to stimulate electronic patient record keeping, or electronic health records (EHR). 

DPR Digital patient record, essentially the same as EHR (electronic health record) and EMR (electronic medical record). 

Electronic health records, and digital patient records generally, are important and... 

But the electronic health records issue is still continually controversial. See ... 

A. Shabo, P. Vortman, and B. Robson. 2001. Who s Afraid of Lifetime Electronic Medical Records In Proceedings ofTowards Electronic Health Records Conference, London TEHRE. 

D. Smaltz and E. Berner. 2007. The Executive s Guide to Electronic Health Records. Chicago Health Administration Press, p. 3. 

J. A. Linder, D. W. Bates, B. Middleton, and R. S. Stafford. 2007. Electronic health record use and the quality of ambulatory care in the United States. Arch Internal Medicine 167 1400-1405. 

D. Gans, J. Kralewski,T. Hammons, and B. Dowd. 2005. Medical groups adoption of electronic health records and information systems. Health Affairs (Project Hope) 24(5) 1323-1333. 

Electronic health records (EHR s) are key components of our Information Age, putting information about the patient s health at the physician s fingertips at all times and in all places. Microsoft now makes it possible to put personal health records on the Web, in a program called HealthVault. Partners include hospitals, disease-prevention organizations and health care institutions. For example, in Baltimore, Health Vault collaborates with Union Memorial Hospital, Harbor, Franklin Square and Good Samaritan Hospital. 

Apps which are designed for healthcare professionals are essentially extensions of traditional Electronic Health Records (EHRs) but often with narrowed or very specific functionality. These can be considered clinical management systems or medical devices depending on the intended purpose. From a patient safety perspective, risk management is required in exactly the same way as for conventional health information systems if they are able in some way to adversely impact care. 

Sittig D, Classen D. Safe Electronic Health Record use requires a comprehensive monitoring and evaluation framework. JAMA. 2010 303(5) 450-1. 

Sittig D, Singh H. Eight rights of safe electronic health record use. JAMA. 2009 302(10) llll-3. 

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