Living Reference Work Entry

Encyclopedia of Behavioral Medicine

pp 1-2

Date: Latest Version

Electronic Health Record

  • Linda C. BaumannAffiliated withSchool of Nursing, University of Wisconsin-Madison Email author 
  • , Alyssa YlinenAffiliated withAllina Health System Email author 

Synonyms

Computer-based patient record; Electronic medical record; Electronic patient record; Health information record; Personal health record

Definition

The electronic health record (EHR) is a computer-based record of patient health information. It is generated by one or more encounters in any healthcare delivery setting. The EHR includes information on patient demographics, progress notes, medications, vital signs, clinical history, immunizations, laboratory results, and reports of diagnostic procedures. The EHR documents evidenced-based decision-making, quality management, and patient outcomes. The term EHR is generally preferred over the term electronic medical record (EMR). The EMR most often refers to a single healthcare event, whereas the EHR includes the entire patient record of healthcare encounters. The EHR also emphasizes the role of the patient in viewing and even contributing to the record and may chronicle and even influence health status, not just a patient’s medications, ...

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