History of Electronic Health 
                             Records
                   Learning Objectives
     • Describe some early examples of electronic 
        medical records
     • Discuss lessons learned from the early EHR 
        implementations
     • Discuss how the attributes that were identified 
        for a computer-based patient record in the 1991 
        Institute of Medicine Report relate to the concept 
        of meaningful use
     • Discuss differences between the terms 
        electronic health record (EHR) and personal 
        health record (PHR)
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                    Names Associated with EHRs
         • Medical Information Systems
         • Computer-based Patient Record
         • Electronic Medical Records
         • Electronic Health Records
         • Personal Health Records
         Sources:      (Collen, 1986)
                (Dick et al., 1991)                                                                                                   3
                        Electronic Medical Record
              “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 
              healthcare organization.”
        Source:      (The National Alliance for Health Information Technology, 2008)
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                         Electronic Health Record
              “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 healthcare organization.”
        Source:      (The National Alliance for Health Information Technology, 2008)
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                            Personal Health Record
              “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.”
        Source:      (The National Alliance for Health Information Technology, 2008)
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