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Electronic Health Record

Overview#

Electronic Health Records (EHRs) is Patient Data collected by ALL Health Care Providers and are inclusive of a broader view of a patient’s care.

Electronic Health Records, ideally, contain Patient Data from all Health Care Providers involved in a patient’s care and all authorized Health Care Providers involved in a patient’s care can access the information to provide care to that patient; Hopefully with Informed Consent.

Certified Electronic Health Record Technology (CEHRT) #

In order to efficiently capture and share Patient Data efficiently, Health Care Providers need an Electronic Health Record (EHR) that stores data in a Structured data format. Structured data allows Health Care Providers to easily retrieve and transfer Patient Data, and use the EHR in ways that can aid patient care.

CMS and the Office of the National Coordinator for Health Information Technology (ONC) have established standards and other criteria for Structured data that EHRs must meet in order to qualify for use in the PI Programs (formerly the EHR Incentive Programs).

To avoid a Medicare payment adjustment or receive a Medicaid incentive payment, health care providers must use an EHR that is certified specifically for the PI Programs. CEHRT gives assurance to purchasers and other users that an EHR system or module offers the necessary technological capability, functionality, and security to help them meet the Meaningful Use criteria. Certification also helps health care providers and patients be confident that the electronic health IT products and systems they use are secure, can maintain data confidentiality, and can work with other systems to share information.

Information Blocking Attestation#

Providers participating in the PI Programs must attest to three statements to demonstrate that they have not knowingly and willfully taken action to limit or restrict the compatibility or interoperability of their CEHRT. Collectively, these statements are referred to as the "prevention of information blocking attestation." information blocking fact sheet.

Electronic Health Record vs Personal Health Record vs Electronic Medical Record #

FHIR-based API?#

Several leading Electronic Health Record vendor organizations have jointly developed an API standard to help health IT developers build software products that integrate information from multiple Electronic Health Record systems. It’s called Fast Healthcare Interoperability Resources, or FHIR. Building FHIR-based APIs helps provide better access to health information.

Electronic Health Record technologies that support FHIR-based APIs can tap into the growing market of apps more readily than traditional health IT systems. Office of the National Coordinator for Health Information Technology actively encourages the development of FHIR-based APIs.

More Information#

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