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Related Experiment Videos

What is an electronic patient record?

D Gordon1, G Geiger, N Lowe

  • 1Sunnybrook Health Science Centre, USA.

Proceedings. AMIA Symposium
|February 3, 1999
PubMed
Summary
This summary is machine-generated.

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During the transition to electronic patient records, a model clarifies the patient system of record, integrating paper and digital data across multiple systems for better management.

Area of Science:

  • Health Informatics
  • Information Management
  • Clinical Systems Engineering

Background:

  • Organizations are transitioning to Electronic Patient Records (EPRs).
  • This transition involves a period with coexisting paper and computerized records.
  • Multiple clinical information systems may be involved.

Purpose of the Study:

  • To describe a model defining the patient system of record.
  • To outline the model's paper elements and electronic components.
  • To aid organizations in developing their EPR systems.

Main Methods:

  • Development of a conceptual model for the patient system of record.
  • Adoption and application of the model within a large academic health science center.
  • Analysis of constituent paper and electronic components.

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Main Results:

  • The model successfully defined the patient system of record.
  • It clarified which systems and data constitute the patient system of record.
  • It identified applicable standards and policies for these systems.

Conclusions:

  • The proposed model effectively addresses the complexities of EPR transition.
  • It provides a framework for managing hybrid paper and electronic health records.
  • The model facilitates the standardization and policy development for clinical information systems.