Components of EHR Farrokh Alemi, Ph.D.

Definitions Electronic Medical Record Electronic Medical Record Electronic Health Record Electronic Health Record Personal Health Record Personal Health Record Continuity of Care Record Continuity of Care Record Computerized Administrative Record Computerized Administrative Record

Elements of EHR Patient demographics. Patient demographics. History, examination and progress reports History, examination and progress reports Allergy lists, and immunization status Allergy lists, and immunization status Laboratory and tests. Laboratory and tests. Medical imaging studies Medical imaging studies Medication Medication Clinical practice guidelines Clinical practice guidelines Appointment scheduling Appointment scheduling Claims and payment processing Claims and payment processing Reminders Reminders

Basic Components Accounts Receivable Accounts Receivable Consolidated Mail Consolidated Mail Outpatient Pharmacy Outpatient Pharmacy Controlled Substances Controlled Substances Current Procedural Terminology Current Procedural Terminology Diagnostic Related Group (DRG) Grouper Diagnostic Related Group (DRG) Grouper Drug Accountability/Inventory Drug Accountability/Inventory Interface Interface Duplicate Record Merge: Patient Merge Duplicate Record Merge: Patient Merge Event Capture Event Capture Medications Medications Inpatient Medications Inpatient Medications Intravenous Inpatient Medications - Unit Dose Intravenous Inpatient Medications - Unit Dose Integrated Billing Integrated Billing Laboratory Laboratory Laboratory Electronic Data Interchange Laboratory Electronic Data Interchange Lexicon Utility Lexicon Utility Master Patient Index Master Patient Index Master Patient Index/Patient Demographics Master Patient Index/Patient Demographics National Drug File National Drug File Outpatient Pharmacy Outpatient Pharmacy Patient Information Management Systems (Admission, Discharge, Transfer, Registration) Patient Information Management Systems (Admission, Discharge, Transfer, Registration) Pharmacy Benefits Management Pharmacy Benefits Management Pharmacy Data Management Pharmacy Data Management Radiology/Nuclear Medicine Radiology/Nuclear Medicine Scheduling Scheduling

Standard Components Adverse Reaction Tracking Adverse Reaction Tracking Authorization/Subscrip tion Utility Authorization/Subscrip tion Utility Automated Information Collection System (AICS) Automated Information Collection System (AICS) Automated Medical information Exchange (AMIE) Automated Medical information Exchange (AMIE) Automatic Replenishment/Ward Stock Automatic Replenishment/Ward Stock Clinical Reminders Clinical Reminders Consults/Request Tracking Consults/Request Tracking Computerized Patient Record System Computerized Patient Record System Dietetics Dietetics Generic Code Sheet Generic Code Sheet Health Summary Health Summary Integrated Funds Distribution Integrated Funds Distribution Control Point Activity Control Point Activity Accounting and Procurement Accounting and Procurement Patient Care Encounter Patient Care Encounter Problem List Problem List Text Integration Text Integration Utilities Utilities Vitals/Measurements Vitals/Measurements

Add-ons to Electronic Health Records Equipment/Turn-In Equipment/Turn-In Request Fee Basis Request Fee Basis Hepatitis C Extract Hepatitis C Extract Home Based Primary Care Home Based Primary Care Immunology Case Registry Immunology Case Registry Incident Reporting Incident Reporting Intake and Output Intake and Output Library Library Medicine Clinical Services Medicine Clinical Services Mental Health Mental Health Minimal Patient Dataset Minimal Patient Dataset Network Health Exchange Network Health Exchange Nursing Nursing Occurrence Screen Occurrence Screen Oncology Oncology Patient Identification Card Patient Identification Card Personnel and Accounting Integrated Data Personnel and Accounting Integrated Data Pharmacy Prescription Practices Pharmacy Prescription Practices Police and Security Police and Security Primary Care Management Module Primary Care Management Module Prosthetics Prosthetics Quality Quality Audiology And Speech Analysis Audiology And Speech Analysis Reporting Reporting Record Tracking Record Tracking Resident Assessment Instrument Resident Assessment Instrument Minimum Data Set Minimum Data Set Risk Assessment (Surgery), Risk Assessment (Surgery), Social Work Social Work Spinal Cord Dysfunction Spinal Cord Dysfunction Surgery Surgery Survey Generator Survey Generator Visual Impairment Service Team Visual Impairment Service Team Voluntary Timekeeping Voluntary Timekeeping Women's Health. Women's Health.

Components of EHR

Multiple Uses of EHR Patient care Patient care Quality improvement Quality improvement Outcome reporting Outcome reporting Resource management Resource management Public health communicable disease surveillance Public health communicable disease surveillance

Take Home Lesson Electronic Health Record is a complex multi-system product