Abstract
A mobile society and the portability of our health records resulted in a change in the way our health records are kept and managed. Electronic Health Records (EHRs), Electronic Medical Records (EMRs) and Personal health records (PHRs) are different forms of electronic records kept for medical purposes. EHRs are built to go beyond standard clinical data collected in a provider’s office and are inclusive of a broader view of a patient’s care. EMRs were the first electronic sources used to electronically store patient information (mostly electronic versions of the paper charts). PHRs contain the same types of information as EHRs but may contain patient contributed information and are designed to be set up, accessed, and managed by patients. More complex PHR systems are now being integrated into health provider information systems, combining personal record keeping, access to current electronic health records, and a range of information and communication functions. EHR systems can include many potential capabilities, but three functionalities hold great promise in improving the quality of care and reducing costs at the health care system level: clinical decision support (CDS) tools, computerized physician order entry (CPOE) systems, and health information exchange (HIE). A CDS system is one that assists the provider in making patient care decisions. Using a CPOE system linked to a CDS, can result in improved efficiency and effectiveness of care. HIEs can help exchange patient information among providers to better facilitate patient care. EHRs have clinical, organizational, and social benefits. Clinical outcomes focus on the concept of quality in relation to direct patient-care, services, and treatments. Adoption of national standards will contribute to interoperability, trans- portability, and security features of EHRs and PHRs. As both EHRs and PHRs become standardized, patients will be able to move from one place to another and have their medical records accessible and transferable wherever they go.
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Koppoe, S.N. (2019). Health Records. In: Onyejekwe, E., Rokne, J., Hall, C. (eds) Portable Health Records in a Mobile Society. Health Informatics. Springer, Cham. https://doi.org/10.1007/978-3-030-19937-1_2
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