Post on 23-Dec-2015
Electronic Medical Record
Vincent N. Carrasco, MDLAIRMSIS ‘14
JARGON• EMR• EHR• CCR• CCD• CDO• RHIO• NHIN• CDS• CPOE• ASTM• HL7• DEA• NPI• CQM• ICD-9, CPT, SNOMED• EOB
• Electronic Medical Record• Electronic Health Record• Clinical Care Record• Continuity Of Care Document• Clinical Delivery Organization• Regional Health Information Organization• National Health Information Network • Clinical Decision Support• Clinical Physician Order Entry• American Society for Testing & Materials• HL7• Drug Enforcement Agency• National Provider Identifier• Continuous Quality Management• Medical Coding systems for services• Estimate of Benefits
EMR VS. EHR
EMR vs. EHRElectronic Medical Records
• The legal record of the CDO.
• A record of clinical services for patient encounters in a CDO
• Owned by the CDO• These systems are being sold by
enterprise vendors and installed by hospitals, health systems, clinics, etc.
• May have patient access to some results info through a portal but is not interactive
• Does not contain other CDO encounter information
Electronic Health Records
• Subset (i.e. CCR or CCD) of information from various CDOS
• Where patient has had encounters
• Owned by patient or stakeholder• Community, state, or regional• Emergence today (RHIOS) – or --
Nationwide in the future.
• Provides interactive patient access as well as the ability for the patient to append Information.
• Connected by NHIN
© 2006 HIMSS AnalyticsTM
USE CASE vs. USE CASE SCENARIO
How are they used?
INTRODUCTION TO
Path to Understanding
USE CASESINGLE
PATH
SINGLE PATH
USE CASE =
Path to Understanding
MULTIPLE PATHS
USE CASE SCENARIO
MULTIPLE PATHS
USE CASE SCENARIOS =
Path to Understanding
USE CASEUSE CASE SCENARIO
OpenEMRFunctions and Features
OpenEMR Features
• Patient scheduling• Patient Demographics• Electronic Medical Records• Prescriptions• Medical Billing• Clinical Decision Rules• Support• Patient Portal• Reports• Security
Q & A
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