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Ambulatory EHR functionality: a comparison of functionality lists.

Barbara M Drury¹

¹Pricare Inc., USA.

Journal of Healthcare Information Management : JHIM

|January 25, 2006

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Electronic health record (EHR) system functionality lists vary widely. This study compares five EHR lists to assess their usefulness for clinicians, developers, and payers.

Area of Science:

Health Informatics
Medical Technology Assessment

Background:

Numerous lists define ambulatory electronic health record (EHR) system functionalities.
These lists originate from diverse public and private entities, exhibiting variations in terminology, detail, usability, and completeness.
Specific EHR functionalities, such as problem list management, are defined inconsistently across different lists.

Purpose of the Study:

To compare the attributes of five distinct EHR functionality lists.
To evaluate the usefulness of these lists for various stakeholders, including clinicians, application developers, and payers.

Main Methods:

Comparative analysis of five electronic health record (EHR) functionality lists.
Examination of variations in terminology, granularity, usability, and comprehensiveness.

Related Experiment Videos

Assessment of the utility of each list for different user groups.

Main Results:

Significant discrepancies were identified in the definitions and scope of EHR functionalities across the reviewed lists.
The example of 'problem list' functionality illustrates the wide range of interpretations and requirements.
The usefulness of each list is contingent upon the specific needs and perspectives of the intended audience.

Conclusions:

The heterogeneity of EHR functionality lists poses challenges for standardization and interoperability.
A clear understanding of the varying attributes and target audiences is crucial for selecting and utilizing EHR lists effectively.
Further efforts are needed to harmonize EHR functionality definitions to improve usability and adoption.