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Overview of Electronic Medical Records. Dr Sanjoy Sanyal MBBS, MS, MSc, ADPHA, ADHRD. Staff seminar in Seychelles medical college in March 2008. Table of contents. EMR – General considerations EMR – Screenshots from companies EMR – Specialty-specific examples
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Overview of Electronic Medical Records Dr Sanjoy Sanyal MBBS, MS, MSc, ADPHA, ADHRD Staff seminar in Seychelles medical college in March 2008
Table of contents • EMR – General considerations • EMR – Screenshots from companies • EMR – Specialty-specific examples • EPM / PMS – Automated clinical workflow integration • Conclusion – Relevance to us • References
General considerations
Definition • ISO TC 215 defines an EHR as “a healthcare record in computer processable format.”
Electronic medical record • Should document history, examination, diagnoses intuitively, rapidly, efficiently • Should automate tests, medication, submission of diagnostic / procedure codes • Should include error checking rules to avert allergies / cross reactions
Electronic medical record • Evaluation and Management (E & M) electronic guidelines should be built into the code system • Should be compliant with HIPAA policies
Stages of EMR complexity CDR is the central pivot 3 2 eMAR 1 0
Company screenshots
EMR – Veterans Affairs VA – DoD
