Electronic Health Record Essay

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Recommended: Current status of electronic health records

An Electronic Health Record (EHR) is any information source in electronic form which contains identifiable information concerning a patient’s medical care. The information held on an EHR may include, but is not restricted to: • Diagnoses. • Medical History. • Allergies & Adverse Drug Reaction. • Results of pathology and other tests. • Prescribing History Pharmacy professionals would include registered pharmacists and pharmacy technicians. Systems used for EHRs A variety of systems may be used to store EHRs. In pharmacy practice, these might include: • Patient Medication Record (PMR) systems for community pharmacy • GP systems and primary care medical record systems • A national summary care record service, which may be accessed via a pharmacy PMR systems …show more content…

It is recognised that, in multidisciplinary environments, the influence of pharmacy staff on the implementation and configuration of EHR systems may be limited. However, where possible, pharmacists should seek assurances from suppliers that the systems they use comply with the principles of the NHS Care Record Guarantee and relevant requirements. Pharmacy professionals should also ensure that EHR information is safeguarded from actions of non-pharmacist employers, which might compromise the integrity and confidentiality of the information. EHR systems should provide appropriate access security, and should contain a comprehensive metadata set - i.e. time and date stamps for each entry or amendment, and an audit log of users making changes to records. The data fields on the EHR system should be adequate to provide the level of pharmaceutical care provided by the pharmacy. There should be a Standard Operating Procedure in place for the use of EHRs in the pharmacy. • Digital formatting enables information to be used and shared over secure networks • Track care (e.g. prescriptions) and outcomes (e.g. blood

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