Electronic Health Record

Nursing Informatics

2023/2024

Second term

G6

Supervised by: Dr. Nora Khalil

1. Shahd Eslam Elsayed Soliman

2. Shimaa Wael said Abdelazeem

3. Abdelrhman Khaled Mohamed

4. Abdallah osama Abdallah

5. Taha Mohamed Taha Ali

6. Abdulgany Mohamed abdulgany

7. Abdelrazek Elsayed Abdelrazek

8. Abdelrazek Omar Abdallah

9. Abdelrahman Sayed Abdelmaged

10. Abdelrahman Bakar Ali Gad

➢ Introduction

➢ Definition

➢ Concepts

➢ Component

➢ Types

➢ Advantages

➢ Disadvantages

➢ Conclusion

➢ References

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 Introduction

EHR systems are designed to store data accurately and to capture the state of a patient across

time. It eliminates the need to track down a patient’s previous paper medical records and

assists in ensuring data is up-to-date, accurate and legible. It also allows open communication

between the patient and the provider, while providing “privacy and security.” It can reduce

risk of data replication as there is only one modifiable file, which means the file is more likely

up to date and decreases risk of lost paperwork and is cost efficient.

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Definition:

An electronic health record (EHR) is essentially a digital version of a patient’s medical history.

Unlike traditional paper charts, EHRs are:

Electronic: The information is stored on a computer system and can be accessed easily by

authorized providers.

Real-time: Changes to the record are reflected immediately, ensuring everyone has the most

up-to-date information.

Patient-centered: Ideally, EHRs give patients secure access to their own health data.

Shareable: EHR systems can be designed to share information with other healthcare providers

involved in a patient’s care, improving coordination and reducing the risk of mistakes.

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Concepts of ERH

An Electronic Health Record (EHR) is an electronic version of a patients medical history, that

is maintained by the provider over time, and may include all of the key administrative clinical

data relevant to that persons care under a particular provider, including demographics,

progress notes, problems, medications, vital signs, past medical history, immunizations,

laboratory data and radiology reports The EHR automates access to information and has the

potential to streamline the clinician’s workflow. The EHR also has the ability to support other

care-related activities directly or indirectly through various interfaces, including evidence-

based decision support, quality management, and outcomes reporting.

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Component of EHR

EHRs contain a wide range of information about a patient’s health, including:

1. Demographics: Name, address, date of birth, sex, etc.

2. Medical history: Past surgeries, illnesses, hospitalizations, allergies, etc.

3. Medications: A list of current and past medications, including dosages and allergies

4. Lab results: Blood tests, X-rays, imaging studies, etc.

5. Vital signs: Blood pressure, heart rate, temperature, respiratory rate, etc.

6. Progress notes: Notes written by doctors and other healthcare providers about a patient’s

condition and treatment

7. Treatment plans: A plan of care for a patient’s condition, including medications,

procedures, and therapies

8. Immunization records: A record of a patient’s vaccinations

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Types of EHR

Electronic health records (EHRs) can be categorized in two main ways: by how the data is

stored and by the software used.

➢ Based on Data Storage:

1. On-premise HER: In this type of EHR system, data is stored on servers located at the

healthcare facility itself. This gives the healthcare provider more control over their data

security but also requires them to manage and maintain the servers themselves.

2. Cloud-based EHR: Cloud-based EHRs store data on servers hosted by a third-party

vendor. This can be more affordable and easier to maintain for healthcare providers, but it

also raises concerns about data security and privacy.

3. Hybrid EHR: Hybrid EHRs combine the features of both on-premise and cloud-based

systems. Some data may be stored on-site, while other data is stored in the cloud. This can

provide a balance between security and affordability.

➢ Based on EHR Software:

1. Enterprise EHR: Enterprise EHR systems are designed for large healthcare organizations,

such as hospitals and health systems. They are typically complex and expensive, but they

can offer a wide range of features and functionality.

2. Custom EHR: Custom EHRs are designed to meet the specific needs of a particular

healthcare organization. They can be very expensive and time-consuming to develop, but

they can offer the most flexibility and functionality.

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Advantages of EHR

1. Improved Patient Care: EHRs provide a comprehensive view of a patient’s medical

2. Efficiency: EHRs streamline administrative tasks, such as scheduling appointments and

3. Data Accessibility: With EHRs, patient information is easily accessible by authorized

4. Patient Engagement: Patients can access their own health records online, empowering them
to take a more active role in managing their health and making informed decisions about
their care.

5. Cost Savings: By reducing paperwork, eliminating duplicate tests, and improving

6. Data Analysis: EHRs allow for the collection and analysis of large amounts of healthcare
data, which can be used to identify trends, improve population health management, and
advance medical research.

7. Interoperability: EHR systems can facilitate the exchange of health information between
different healthcare providers and organizations, improving coordination of care and
patient outcomes.

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Disadvantages of EHR

Electronic health records (EHRs) have revolutionized healthcare, but they also come with

some drawbacks. Here are some disadvantages of EHRs:

1. Privacy concerns: EHRs are vulnerable to cyberattacks, which could expose sensitive

patient data. Breaches of patient privacy can be damaging to both patients and healthcare

providers.

2. Technical problems: Technical glitches and downtime can disrupt workflows and prevent

healthcare providers from accessing crucial patient information.

3. Usability issues: Some EHR systems are not user-friendly, which can lead to errors in data

entry and frustration for healthcare providers.

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Conclusion

Overall, EHRs represent a significant advancement in healthcare, but ongoing efforts

are needed to optimize their functionality, address privacy concerns, and ensure they

contribute to a more efficient and patient-centered healthcare system.

EHRs are a powerful tool that has the potential to significantly improve the quality and

efficiency of healthcare. However, it is important to address the challenges associated

with EHRs in order to maximize their benefits.

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References

https://digital.ahrq.gov/electronic-health-records

https://www.healthit.gov/topic/health-it-and-health-information-exchange-basics/what-

are-electronic-health-records-ehrs

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553914/

https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/Medicaid-

Integrity-Education/Downloads/docmatters-ehr-providerfactsheet.pdf

http://healthit.hhs.gov/portal/server.pt

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