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Chapter 12

Chapter 12. Electronic Health Record System. Difference. Computer patient record Electronic medical record Electronic Health record. Functional Components of an HER. Integrated view of Patient Data

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Chapter 12

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  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 patient’s 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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