Electronic Health Record (EHR)
Longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting.
The Electronic Health Record (EHR) is a longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting. Included in this information are patient demographics, progress notes, problems, medications, vital signs, past medical history, immunisations, laboratory data and radiology reports. The EHR automates and streamlines the clinician's workflow. The EHR has the ability to generate a complete record of a clinical patient encounter - as well as supporting other care-related activities directly or indirectly via interface - including evidence-based decision support, quality management, and outcomes reporting.
- LIS (Lab information systems)
PAS (Patients administrator system)
RIS (Radiology Information System)
Pharmacy Information Management System
- Identify and maintain a patient record
- Manage patient demographics
- Manage problem lists
- Manage medication lists
- Manage patient history
- Manage clinical documents and notes
- Capture external clinical documents
- Present care plans, guidelines, and protocols
- Manage guidelines, protocols and patient-specific care plans