What is an electronic health record?
An electronic health record (EHR) is a digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users. While an EHR does contain the medical and treatment histories of patients, an EHR system is built to go beyond standard clinical data collected in a provider’s office and can be inclusive of a broader view of a patient’s care. EHRs are a vital part of health IT and can:
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Contain a patient’s medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory and test results
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Allow access to evidence-based tools that providers can use to make decisions about a patient’s care
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Automate and streamline provider workflow
One of the key features of an EHR is that health information can be created and managed by authorized providers in a digital format capable of being shared with other providers across more than one health care organization. EHRs are built to share information with other health care providers and organizations – such as laboratories, specialists, medical imaging facilities, pharmacies, emergency facilities, and school and workplace clinics – so they contain information from all clinicians involved in a patient’s care.
What are the advantages of electronic health records?
EHRs and the ability to exchange health information electronically can help you provide higher quality and safer care for patients while creating tangible enhancements for your organization. EHRs help providers better manage care for patients and provide better health care by:
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Providing accurate, up-to-date, and complete information about patients at the point of care
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Enabling quick access to patient records for more coordinated, efficient care
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Securely sharing electronic information with patients and other clinicians
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Helping providers more effectively diagnose patients, reduce medical errors, and provide safer care
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Improving patient and provider interaction and communication, as well as health care convenience
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Enabling safer, more reliable prescribing
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Helping promote legible, complete documentation and accurate, streamlined coding and billing
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Helping providers improve productivity and work-life balance
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Reducing costs through decreased paperwork, improved safety, reduced duplication of testing, and improved health.
What information does an electronic health record contain?
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Administrative and billing data
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Patient demographics
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Progress notes
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Vital signs
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Medical histories
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Diagnoses
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Medications
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Immunization dates
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Allergies
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Radiology images
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Lab and test results
An EHR is more than just a computerized version of a paper chart in a provider’s office. It’s a digital record that can provide comprehensive health information about your patients. EHR systems are built to share information with other health care providers and organizations – such as laboratories, specialists, medical imaging facilities, pharmacies, emergency facilities, and school and workplace clinics – so they contain information from all clinicians involved in a patient’s care.
