Electronic medical records
Presented to: Presented by:
Ms. Delpha Gopi Chandran. R
Ms. Lakshmi 312213121011
INTRODUCTION
•System of recording, processing, storing, and transferring health information
electronically
Ref: [Link]
CHALLENGES WITH PAPER-BASED
SYSTEM
• Slow data exchange
• Scattered patient data
• Patient data cannot be accessed by
multiple departments in the hospital
• Difficult data storage and retrieval
• Consumes more space, cost and time
REQUIREMENTS
• An EMR system requires the use of a computer system along with a
network.
• The network would ensure the transfer and storage of the health
information
Ref:[Link]
articleID=101706
Rules and standards for the EMR systems
• HIPAA (Health Information Portability and
Accountability Act)
• HL7 (Health Level Seven)
• ANSI X12 EDI
HIPAA
• Focuses primarily on the privacy and the
security of the patient’s data
• All the developers must work within the
scope of this HIPAA standard
HIPAA(Cont.)
Sections
Security rules
implement all the security rules laid out by HIPAA.
Privacy rules
providing the patient with his own medical data
HL7
• standard format for electronic information
exchange between medical applications
• set of rules that allow a consistent and
secure data exchange between different
health care systems
ANSI X12 EDI
• official designation of the U.S. national
standards body
• development and maintenance of
Electronic Data Interchange (EDI)
standards
EDI STANDARD
EDI standard
Defines for Bridge between
electronic document Focuses
the system
Vocabul Syntax Structur Invoicin Data transfer
ary rules e Billing g using different
data formats
BARRIER TO ADOPTION
Ref: [Link]
road-to-emr-adoption/
7-stage Electronic Medical Record (EMR)
Adoption Model
Ref:[Link]
electronic-medical-record-stimulus-requirements/
BENEFITS OF EMR
BENEFITS
Ref:[Link]
records/
BENEFITS
EHR
• Electronic version of patient’s medical
history
• Maintained by provider over time
• Includes clinical data relevant to the
person including progress notes,
medications, problems, past medical
history, etc.
EHR vs EMR
ELECTRONIC HEALTH RECORD ELECTRONIC MEDICAL RECORDS
Digital version of chart Digital record of health information
Streamlined sharing of updated, real Not designed to be shared outside the
time information individual practice
Allows a patient’s medical information Patient record does not easily travel
to move with them outside the practice
Access to tools that providers can use Mainly used by providers for diagnosis
for decision making and treatment
TECHNICAL FEATURES
• Digital formatting enables information to
be used and shared over secure networks
• Track care(eg. Prescriptions) and
outcomes(eg. Blood pressure)
• Trigger warnings and reminders
TECHNICAL FEATURES (cont.)
• Send and receive orders, reports and
results.
• Decrease billing process time and create
more accurate billing system.
• Technical and social framework that
enables information to move electronically
between organizations.
CONSIDERATIONS
Quality
New England Journal of
Medicine
Diabetes
PRESENT STATUS
• Finding and reusing key data items
• Record fragmentation
• Movement of paper information
• Lack of support for decision support
systems
OBSTACLES
• Technology investments
• Adoption by the user
• Modification of existing practices
• Understanding of legal and ethical issues
DISADVANTAGES
EMR
REFERENCES
• [Link]/developerworks/websphere/library/techarticles/ind-op
enemr/
• [Link]/[Link]?articleID=101706
• [Link]
/
• [Link]
• [Link]/diagnostic-imaging/electronic-medical
-record-stimulus-requirements
THANK YOU
