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Electronic medical records--where to from here?
1Department of General Practice, University of Melbourne, Victoria. drchrispearce@mac.com
Abstract:
Ninety percent of general practitioners use computers. Computers are being used by GPs for an increasingly broad range of functions. Effectively, Australia now has a national electronic medical record (EMR) based in general practice. The true benefits of having an EMR will only be realised when we move beyond the idea that it is simply information that was once recorded on paper. Electronic medical records allow multiple sources of information to come into play in the consultation. This article looks at the future of the EMR in general practice and how we can use it to improve patient care.
Related Concept Videos
01:30Methods of Documentation VII: EMR
01:19Purpose of Health Records II
01:11Purpose of Health Records I
Here's a breakdown of how health records serve these purposes:
01:30Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
01:18Guidelines and Strategies for Safe Computer Charting
Maintain Confidentiality and Security:
01:18Methods of Documentation I: Source-Oriented Records
In an SOR, each discipline involved in patient care maintains a separate medical record section. This record-keeping method enables easy tracking of patient progress and ensures healthcare staff have access to up-to-date information.
Key Attributes include the following: