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| THE
DEFINITIONS in HEALTH CARE IT |
Electronic Medical Record: An electronic medical
record is health-related information of an individual
that can be created, gathered, managed, and consulted
by authorized clinicians and staff within one
healthcare organization.
Electronic Health Record: An electronic record
of health-related information on an individual
that conforms to nationally recognized interoperability
standards and that can be created, managed, and
consulted by authorized clinicians and staff across
more than one healthcare organization.
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| What
is an Electronic Medical Record? |
| An
EMR facilitates |
- Easy access of patient data by clinical
staff at any given location.
- Accurate and complete claims processing
by insurance companies.
- Building automated checks for drug and allergy
interactions.
- Clinical notes.
- Prescriptions
- Scheduling.
- Sending to and viewing by labs.
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The EMR healthcare software definition can be
classified into five levels |
| 1. |
The
Automated Medical Record which is a paper-based
record with some computer-generated documents.
|
| 2. |
Ability
to encompass the variability and complexity
of medicines, as well as healthcare information
and practices. |
| 3. |
The
Computerized Medical Record (CMR), which
makes the documents of level 1 electronically
available. |
| 4. |
The
Electronic Medical Record (EMR) restructures
and optimizes the documents of the previous
levels ensuring interoperability of all
documentation systems. |
| 5. |
The
Electronic Patient Record (EPR) is a patient-centered
record with information from multiple institutions.
The Electronic Health Record (EHR) adds
general health-related information to the
EPR that is not necessarily related to a
disease |
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| The
purpose of EMR medical software is to maintain
the benefits of paper-based medical record while
overcoming its limitations. EMR is a single, permanent,
legal document featuring the following key characteristics: |
| |
- A compact structure in the form of a collection
of documents.
- Ability to encompass the variability and
complexity of medicines, as well as healthcare
information and practices.
- User-friendly method of examining the records.
- Portability to all venues.
- Appropriate authorization.
|
| Electronic
Medical Record (EMR), also known as Electronic
Health Record (EHR) or Computerized
Patient Record (CPR) is a patient’s medical
record in an electronic format, accessible by
computers on a network for the primary purpose
of providing health care and health-related services.
Information in an EHR includes documents relating
to the past, present and/or future physical and
mental health and condition of a patient, medical
test reports or multimedia images, and financial
and demographic information. In addition, ordering
of medical tests, treatments, medications, and
clinical guidelines used for the patient's care
are accessible within the EHR during the encounter.
EHR data can be captured or transmitted, received
or updated, stored or retrieved, securely and
in real-time by users at the point of care or
distant locations. |
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