Electronic Health Record System Essay

There are five functional components of an electronic health record system:

a) integrated view of patient data: An integrated EHR must accommodate a broad spectrum of data types ranging from text to numbers and from tracings to images and video. More complex data types such as radiology images are usually delivered from human viewing-standards like DICOM. Exist for displaying most of these complex data types, and JPEG display of images is universally available for any kind of image. Example DICOM, VistA CPRS electronic health record system, which integrates a variety of text data and images into a patient report data screen including: demographics, a detailed list of the patient’s procedures, a DICOM chest X-ray image, and JPG photos. Other

Providing access to a brief rationale with the recommendation may increase acceptance of reminders and at the same time educate the care provider.

Ch 22: “Clinical decision support (CDS)—the process that “provides clinicians, staff, patients, or other individuals with knowledge and person-specific information, intelligently filtered or presented at appropriate times, to enhance health and health care” (Osheroff et al. 2007); they communicate information that takes into consideration the particular clinical context, offering situation-specific information and recommendations. Pg 643.

Pg 649 CDS 1) may use information about the current clinical context to retrieve pertinent online documents; 2) may provide patient-specific, situation-specific alerts, reminders, physician order sets, or other recommendations for direct action; or 3) may organize information in ways that facilitate decision making and

Clinicians have access to a rich selection of knowledge sources today, including those that are publically available, e.g. the National Library of Medicine’s (NLM) PubMed and MedlinePlus, the Centers for Disease Control and Prevention’s (CDC) vaccines and international travel information, the Agency for Healthcare Research and Quality’s (AHRQ) National Guideline Clearinghouse, and those produced by commercial vendors such as UpToDate, Micromedex, and electronic textbooks, all of which can be accessed from any web browser at any point in time. Some EHR systems are proactive and present short informational nuggets as a paragraph adjacent to the order item that the clinician has chosen. EHRs can also pull literature, textbook or other sources of information relevant to a particular clinical situation through an Infobutton and present that information to the clinician on the fly (Del Fiol et al. 2012), an approach being encouraged by the CMS MU2 regulations (Final Rule: CMS 2012). Search for queries. Eknygos.lsmuni.it : The most effective time to provide access to knowledge resources is at the time decisions or orders are being contemplated by the clinician.