Encyclopedia of Behavioral Medicine

Living Edition
| Editors: Marc Gellman

Electronic Health Record

  • Linda C. BaumannEmail author
  • Alyssa YlinenEmail author
Living reference work entry
DOI: https://doi.org/10.1007/978-1-4614-6439-6_106-2

Synonyms

Definition

The electronic health record (EHR) is a computer-based record of patient health information. It is generated by one or more encounters in any healthcare delivery setting. The EHR includes information on patient demographics, progress notes, medications, vital signs, clinical history, immunizations, laboratory results, and reports of diagnostic procedures. The EHR documents evidenced-based decision-making, quality management, and patient outcomes. The term EHR is generally preferred over the term electronic medical record (EMR). The EMR most often refers to a single healthcare event, whereas the EHR includes the entire patient record of healthcare encounters. The EHR also emphasizes the role of the patient in viewing and even contributing to the record and may chronicle and even influence health status, not just a patient’s...

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References and Further Readings

  1. Gunter, T., & Terry, N. (2005). The emergence of national electronic health record architectures in the United States and Australia: Models, costs, and questions. Journal of Medical Internet Research, 7(1), 1–15.CrossRefGoogle Scholar
  2. Lamberg, L. (2001). Confidentiality and privacy of electronic medical records. Journal of the American Medical Association, 285(4), 3075–3076.PubMedGoogle Scholar
  3. Murphy, E., Ferris, F., & O’Donnell, W. (2007). An electronic medical records system for clinical research and the EMR-EDC interface. Investigative Ophthalmology and Visual Science, 48(10), 4383–4389.CrossRefPubMedPubMedCentralGoogle Scholar
  4. Skolnik, N. (2011). Electronic medical records: A practical guide for primary care. New York: Springer.CrossRefGoogle Scholar
  5. Wachter, R. M. (2012). Information technology, chapter 13. In R. M. Wachter (Ed.), Understanding patient safety (2nd ed.). McGraw Hill Medical: New York, New York.Google Scholar

Copyright information

© Springer Science+Business Media LLC 2016

Authors and Affiliations

  1. 1.School of NursingUniversity of Wisconsin-MadisonMadisonUSA
  2. 2.Allina Health SystemSt. PaulUSA