ehealth, HIS, etc ehealth All information about health HMIS mhealth HIS Statistical IS Credited: Karl Brown, Rockefeller Foundation

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1 ehealth, HIS, etc Statistical IS Health Informatics: Formal discipline that studies use of information in health All information about health HIS HMIS ehealth mhealth Tele-medicine Enterprise architecture: How all these pieces fit together Credited: Karl Brown, Rockefeller Foundation

2 Definitions Asia ehealth Information network ehealth: The use of information and communication technology (ICT) for health. References: (1) WHO Global Observatory of ehealth (GOe), accessed 8 Aug 2012 ( 2) World Health Assembly, Resolution WHA58.28 Credited: Mark Landry, WHO WPRO

3 Definitions Asia ehealth Information network HIS: A system that integrates data collection, processing, reporting, and use of the information necessary for improving health service effectiveness and efficiency through better management at all levels of health services Reference: (1) WHO Western Pacific Regional Office, A selection of important health indicators. Manila, Philippines. (2) WHO Western Pacific Regional Office, Developing Health Management Information Systems. Manila, Philippines. Credited: Mark Landry, WHO WPRO

4 Definitions Asia ehealth Information network HMIS: An information system specially designed to assist in the management and planning of health programs, as opposed to delivery of care. References: (1) WHO Western Pacific Regional Office, Guidelines for the development of Health Management Information Systems. Manila, Philippines. (2) WHO Western Pacific Regional Office, Developing Health Management Information Systems. Manila, Philippines. Credited: Mark Landry, WHO WPRO

5 What is EHR/EMR/PHR? Electronic Medical Record (EMR) An electronic record of health-related information on an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff within one health care organization Electronic Health Record (EHR) An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff, across more than one health care organization. (National Allience for Health IT USA, 2006)

6 What is EHR/EMR/PHR? Personal Health Record (PHR) An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be drawn from multiple sources while being managed, shared, and controlled by the individual.. (National Allience for Health IT USA, 2006) EPR (Electronic Patient Record), EHCR (Electronic Health Care Record), CPR (Computerized Patient Record) etc.

7 What is EHR? An 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. (Healthcare Information and Management System Society HIMSS 2011)

8 What is EHR? repository of patient data in digital form stored and exchanged securely accessible by multiple authorized users contain information which primary purpose is to support continuing, efficient and quality integrated healthcare. (ISO 20514, 2004)

9 HIS - EHR EMR PHR relationship Hospital Information Systems EHR EMR PHR

10 IOM s EHRs core functions (Key capabilities of an electronic health record system. Washington, DC: Institute Of Medicine, 2003.) 1. Patient information and data 2. Results Management 3. Order Entry Management(CPOE) 4. Decision Support 5. Electronic Communication and Connectivity 6. Patient Support: education and self-testing 7. Administrative support: resource allocation, billing& claim 8. Reporting and Population Health Management

11 Major Components of EHRs (Standord, EHRs Overview, 2006) Administrative System Components : Registration Admit Discharge Transfer (RADT) Laboratory System Components: Laboratory Information System (LIS) Radiology System Components: Radiology Information Systems (RIS), Picture Achieving & communication System (PACS) Pharmacy System Components: Dispensing System Computerized Physician Order Entry (CPOE) Clinical Documentation: Doctors and nurses note

12 HIS? Health Information Systems (HIS) Healthcare Information Systems (HIS) Hospital Information Systems (HIS)

13 Hospital Information Systems Hospital information system (HIS), is a comprehensive, integrated information system designed to manage the administrative, financial and clinical aspects of a hospital. Clinical Informatics is the application area of Health Informatics concerned with healthcare services (Clinical services) Clinical information systems is a comprehensive, integrated information system designed to support clinical services.

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