Electronic Health Records

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Electronic Health Records (EHR) are a digitized form of a health record, used in health systems to collect, store, edit, and transfer patient information. EHRs provide a universal location of all information and history of a patient regardless of region or facility. EHRs are owned by the patient and allow patients to access and edit his or her information. In the coming years, healthcare systems hope to overtake or work in addition to its paper counterpart by providing a universal location for “virtually every facet of clinical information pertinent to patient care.”

EHRs should not be confused with Electronic Medical Records (EMR), which are a computerized record from a single facility. They are not universally shared and may not allow the patient access to his or her information. However, the EHR relies heavily on EMRs in order to attain patient information and must seek permission from the healthcare facilities.

History

Electronic Health Records began to emerge in the 1960s. The Lockheed Corporation received a large amount of government grant money for the NASA space program at the beginning of the 60s. The money was to be used for space technology under the stipulation that it be extended it to the common good of society. Lockheed had the idea to develop a computer program that managed patient care[1]. Lockheed presented their idea to El Camino Hospital in Mountain View, Ca in 1968 who agreed to pursue the project. Lockheed industrial engineers spent the next two to three years analyzing the patient data flow in the hospital in order to understand how to build an effective infrastructure for the patient care application. El Camino Hospital began using the program in 1973 on IBM computers. Similar programs began to spread to other hospitals during the 1970s. Some of these projects included IFAS and Medpeo, PCS/ADS, and SMS. Although these programs had many issues they marked the beginning of EHR development.

Ethical Issues

Advancements

References

http://www.springerlink.com/content/u83kt1k4142k6550/

http://www.ncrr.nih.gov/publications/informatics/ehr.pdf

http://vimeo.com/12202874