HL7, Electronic Health Record (EHR), health integration (eGate), and software testing (test life-cycle, IEEE 829 test documentation, Mercury Quality Center) specialists

Home / EHR Services / Electronic Health Record (EHR)Glossary

Electronic Health Record (EHR) Glossary

A Electronic Health Record covers a wide scope of business functions and interacts with a wide variety of health applications. This Electronic Health Record Glossary provides an overview of some of these terms and also provides references to other resources.
Auslab
A Laboratory Information System provided by software vendor PJACC.


CEN
The European Committee for Standardisation CEN.


Cerner
A Electronic Health Record software vendor. Cerner provides a variety of Electronic Health Record software modules including:
  • Clinical Information System modules,
  • Patient Administration System,
  • Radiology Information System,
  • Laboratory Information System and
  • Pharmacy Information Management Systems

CIS
Clinical Information System - an Electronic Health record that is a clinical repository of patient data. The term CIS is sometimes used interchangeably with EMR. Typically covers
  • pathology and radiology order entry and results reporting
  • medication prescribing, supply and administration
  • clinical work lists
  • problem lists
  • clinical notes
  • decision support

eGate
eGate (e*Gate) is a interface engine product from the commercial company SeeBeyond. eGate provides communication connectivity, message translation and mapping, routing of messages, store and forward of messages. Since the release of SeeBeyond's new ICAN product suite eGate has been re-badged as eGate Integrator. Interface engines are likely to play an important role in the integration of EHRs with other health applications.


EDIS
Electronic Health Records may also store emergency episode details from emergency department information systems such as EDIS. EDIS is the name of an emergency department information system supplied by software vendor iSoft


EHR
Electronic Health Record or EHR is a longitudinal health record that provides clinician (and increasingly consumer) access to clinical details captured from one or more encounters. This term is sometimes used interchangeably with Electronic Health Care Record (EHCR).


EMR
Electronic Medical Record or EMR is repository of patient health data. According to some definitions a EMR is a single facility or organisation based patient record, where as a true EHR provides a broader (but potentially) thinner health care record.


EMPI
Electronic Health Record repositories are typically populated from patient encounters in different facilities. Patients may be identified differently in each facility. For example a patient may present to one hospital and be assigned a medical record number (MRN). This number is associated with the patient chart and is used in any electronic information communicated about the patient. The challenge for any Electronic Health Record that needs to present a patient centric health record is that the identifying information being sent with clinical data sent (typically via HL7) has different identifiers for the same patient depending on which facility the patient has visited. Enterprise Master Patient Indexes or EMPIs provide a cross facility client directory. Such a directory typically records:
  • patient demographics
  • local identifiers for each facility the patient has attended
  • matching functions to determine if new patients registrations at a given facility should be matched to an existing entry in the client directory

Electronic Health Records depend on EMPIs to allow the building of a patient centred health record.


HL7
A Electronic Health Record communications protocol for exchange of information between applications. HL7 is an ANSI accredited international standard developed by the standard development organisation HL7. HL7 version 2 is the currently most commonly implemented version of this HL7 standard. HL7 version 2.5 covers messaging of patient demographics, inpatient and emergency episode details, outpatient scheduling, referrals, pathology/radiology orders and results, prescribing/dispensing/administration and more. The next version, HL7 version 3 is being refined and is expected to gradually replace HL7 version 2 implementations


iSoft
A Electronic Health Record software vendor. iSoft provides a variety of Electronic Health Record software modules including:
  • clinical information system modules,
  • patient administration system (PiMS, Homer),
  • theatre management system (ORMIS)
  • emergency information system (EDIS)
  • Pharmacy Information Management Systems (iPharmacy)


openEHR
A not-for-profit company dedicated to the "development of an open, interoperable health computing platform, of which a major component is clinically effective and interoperable electronic health care records (EHRs)". openEHR does this (according to its web site) by "researching clinical requirements, and creating specifications and implementations". The openEHR Foundation also develops "evidence-based clinical information and workflow models, known as archetypes. These are developed collaboratively by domain experts, and published openly in an online, intelligent repository, and are directly consumable by systems based on the openEHR archetype principle".


ORMIS
Electronic Health Records may also store theatre operation details from theatre management systems such as ORMIS. ORMIS is the name of a operating room management information system supplied by EHR software vendor iSoft


PAS
An Electronic Medical Record may include a PAS or be interfaced to a PAS via HL7. A PAS is an application responsible for recording and reporting administrative details of a patients encounter in a hospital. The patient administration system typically covers modules for:
  • patient master index (PMI)
  • inpatient management
  • outpatient Management
  • emergency management
  • theatre management
  • surgery waiting list management
  • medical records tracking
  • medical records coding
  • inpatient billing
  • reporting

Episode details generated from the PAS may be initially stored in an intermediate EMR and then sent to an EHR as part of an EHR extract such as a discharge summary.


Radiology Information System
Electronic Medical Records are repositories of patient data either entered directly or interfaced from external applications. One such application is a Radiology Information System (RIS) that is typically used by hospital radiology departments to record activity in the department. Typical modules include:
  • radiology request registration
  • appointment scheduling
  • exam management
  • exam reporting
  • PACS integration
  • management reporting

Electronic Medical Records typically integrate with Radiology Information Systems by:
  • creating and storing radiology request details in the Electronic Health Record then sending them via HL7 to the Radiology Information System
  • storing radiology request details in the Electronic Health Record sent via HL7 from the Radiology Information System
  • storing radiology exam results in the Electronic Health Record sent via HL7 from the Radiology Information System
  • storing radiology exam image information in the Electronic Health Record sent via DICOM from the PACS.

Radiology investigations generated from the RIS may be initially stored in an intermediate EMR and then sent to an EHR as part of an EHR extract such as a discharge summary.


Laboratory Information System
Electronic Medical Records are repositories of patient data either entered directly or interfaced from external applications. One such application is a Laboratory Information System (LIS) that is typically used by hospital pathology departments to record activity in the department. Typical modules include:
  • Pathology request and specimen registration
  • request and specimen management
  • result reporting
  • blood bank
  • management reporting

Electronic Medical Records typically integrate with Laboratory Information Systems by:
  • creating and storing pathology request details in the Electronic Health Record then sending them via HL7 to the Laboratory Information System
  • storing pathology request details in the Electronic Health Record sent via HL7 from the Laboratory Information System
  • storing pathology specimen collection details in the Electronic Health Record
  • storing pathology results in the Electronic Health Record sent via HL7 from the Laboratory Information System
  • storing blood product requests then sending them via HL7 to the Laboratory Information System, storing production allocation in the Electronic Health Record sent via HL7 from the Laboratory Information. Recording blood product administration in the Electronic Health Record.

Pathology investigations generated from the LIS may be initially stored in an intermediate EMR and then sent to an EHR as part of an EHR extract such as a discharge summary.


Pharmacy Information Management System
Electronic Medical Records are repositories of patient data either entered directly or interfaced from external applications. One such application is a Pharmacy Information Management System (PIMS) that is typically used by hospital pharmacy departments to record activity in the department. Typical modules include:
  • script registration
  • dispensing
  • clinical decision support including interaction checking
  • inventory control including imprest management
  • management reporting

Electronic Health Records typically integrate with Pharmacy Information Management Systems by:
  • creating and storing medication order (script) details and current medications in the Electronic Health Record then sending them via HL7 to the Pharmacy Information Management System
  • storing dispensed medication details in the Electronic Health Record sent via HL7 from the Pharmacy Information Management System
  • storing drug administration details then sending them via HL7 to the Pharmacy Information Management System

Dispensed medications generated from the Pharmacy Information Management System may be initially stored in an intermediate EMR and then sent to an EHR as part of an EHR extract such the current medication list in a discharge summary.


Quadrat
A Radiology Information System provided by software vendor Agfa.


^Top

Valid XHTML 1.0! Valid CSS!