Abstract
A core component of any health information technology (HIT) implementation is the electronic health record (EHR). EHRs have been created by a number of software vendors and some have been developed internally by healthcare organizations. While the feature sets available in EHRs may vary in detail, the core components include demographics, medications, allergies, immunizations, laboratory data, radiology reports, vital signs, problem lists, and progress notes. EHRs are, in effect, longitudinal records of current and past medical history. The availability of these data within a centralized system allows the compilation of data across multiple patient records, which directly supports outcome tracking and quality improvement. These data can also be used to drive clinical decision support systems.
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Gunter TD, Terry NP. The emergence of national electronic health record architectures in the United States and Australia: models, costs, and questions. J Med Internet Res. 2005;7(1):e3.
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Wanderer, J.P., Ehrenfeld, J.M. (2014). Overview of Electronic Health Records. In: Ehrenfeld, J., Cannesson, M. (eds) Monitoring Technologies in Acute Care Environments. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8557-5_44
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DOI: https://doi.org/10.1007/978-1-4614-8557-5_44
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