Electronic Health Record from a Historical Perspective

Question 1

catalyst of EHR

Answer 1

improve patient medical care

Question 2

when was EHR developed

Answer 2

early 1960s

Question 3

first clinics to utilize the EHR system

Answer 3

mayo clinic and medical center hosp. of vermont

Question 4

what are the infos and functionalities available in the EHR sytem

Answer 4

drug dosae, side effects, allergies, drug interactions, patient info., drug info., medical alerts, warnings, disease management, and electronic diagnostic and treatment plan

Question 5

adapt to a person’s voice and speech patterns so that the computer inputs the data as the operator speaks

Answer 5

voice recognition systems

Question 6

another method of data entry aside from voice recognition pattern systems

Answer 6

electronic handwriting recognition

Question 7

2 methods of data entry

Answer 7

voice recognition systems and electronic handwriting recogniton

Question 8

large bodies of preset text

Answer 8

templates

Question 9

enables computers to communicate together and utilize main server for the database

Answer 9

local area network (LAN)

Question 10

enable HC providers full or open access to their EHRs anywhere within the office

Answer 10

wireless LAN networks

Question 11

increased the availability of medical databases that can be shared and accessed across large distances

secure and access is limited

data flowing is also encrypted for privacy

Answer 11

internet and intranet technologies

Question 12

“the medical practice does not house the software on a computer server at the medical office

Answer 12

application server provider (ASP) or web-based EHR

Question 13

the EHR is accessed by the HC provider via internet

Answer 13

application server provider (ASP) or web-based EHR

Question 14

what are the 3 concerns of application server provider or web-based EHR

Answer 14

1. security of EHR
2. speed of the downloading and uploading images or large files
3. ensuring that the internet connectivity is always available

Question 15

storing and accessing patient medical info electronically

Answer 15

EHR - electronic health record

Question 16

range of functionalities and information of EHR

Answer 16

patient demographics
progress notes
problems
medications
vital signs
past medical history
immunizations
laboratory data
radiology results
care alerts
chief complaints
e-prescribing
health maintenance

Question 17

what are the two functionalities that may be added to EHR in the future

Answer 17

continuity of care record and personal health record

Question 18

second to the fully functional EHR

Answer 18

electronic medical record

Question 19

does not offer high end functionalities such as health maintenance and disease management, care alerts, the CCR or continuity of care record, personal health record, or interconnectivity with providers outside the practice

Answer 19

electronice medical record

Question 20

first used to conceptualized the idea of EHR

Answer 20

computer-based patient record

Question 21

a lifetime patient record that includes all information from all specialties and is available to all providers

Answer 21

computer-based patient record

Question 22

not realistic in foreseeable future

Answer 22

computer-based patient record

Question 23

similar to CPR but does not necessarily contain a patient’s lifetime record and does not include dental, behavioral, or alternative care

it focuses on the patient’s relevant medical information

Answer 23

electronice patient record (EPR)

Question 24

health-provider oriented

Answer 24

continuity of care record

Question 25

a core set of data reflecting the most relevant and timely facts about a patient’s health care

Answer 25

continuity of care record

Question 26

a subset of EHR

Answer 26

continuity of care record

Question 27

allows patient to become an interactive source of health information and health management through an internet-based connection to the practice website

Answer 27

personal health record

Question 28

allows patient to schedule appointments, request medication refills, access lab and radiolog results, and ask questions about their health

Answer 28

personal health record

Question 29

affects the ability to meet users demands for rapid response, system reliability, future growth, and cutomization

Answer 29

technology