1. Electronic Medical Record Vincent N. Carrasco, MD LAIR MSIS ‘14

2. JARGON EMR EHR CCR CCD CDO RHIO NHIN CDS CPOE ASTM HL7 DEA NPI CQM ICD-9, CPT, SNOMED EOB Electronic Medical Record Electronic Health Record Clinical Care Record Continuity Of Care Document Clinical Delivery Organization Regional Health Information Organization National Health Information Network Clinical Decision Support Clinical Physician Order Entry American Society for Testing & Materials HL7 Drug Enforcement Agency National Provider Identifier Continuous Quality Management Medical Coding systems for services Estimate of Benefits

3. EMR VS. EHR

4. EMR vs. EHR Electronic Medical Records The legal record of the CDO. A record of clinical services for patient encounters in a CDO Owned by the CDO These systems are being sold by enterprise vendors and installed by hospitals, health systems, clinics, etc. May have patient access to some results info through a portal but is not interactive Does not contain other CDO encounter information Electronic Health Records Subset (i.e. CCR or CCD) of information from various CDOS Where patient has had encounters Owned by patient or stakeholder Community, state, or regional Emergence today (RHIOS) – or -- Nationwide in the future. Provides interactive patient access as well as the ability for the patient to append Information. Connected by NHIN © 2006 HIMSS Analytics TM

5. USE CASE vs. USE CASE SCENARIO How are they used? INTRODUCTION TO

6. Path to Understanding USE CASE SINGLEPATH

7. SINGLEPATH USE CASE =

8. Path to Understanding MULTIPLEPATHS USE CASE SCENARIO

9. MULTIPLEPATHS USE CASE SCENARIOS =

10. Path to Understanding USE CASE USE CASE SCENARIO

11. OpenEMR Functions and Features

12. OpenEMR Features Patient scheduling Patient Demographics Electronic Medical Records Prescriptions Medical Billing Clinical Decision Rules Support Patient Portal Reports Security

13. Q & A Next up OPENVISTA