Electronic Health Record is a the electronic documentation of patient health information through one or more encounters in any care delivery setting .The information contained in it includes patient demographics, progress notes ,problems ,medications, past medical history, immunization, laboratory data, and radiology reports. Limitation of using this technology is that time is wasted when the system is affected by hardware problems.
Q1. Emerging technologies in relation to administrative functions:
a. Executive decision support systems
They are active information systems which use set of patient’s data to generate advice. They manage clinical complexity and details, support diagnosis and treatment plan, support coding and documentation and monitor medication orders.
b. Management information systems
This is a discipline that utilizes information science, computer science and health care in optimizing acquisition, storage, retrieval and use of information in health and biomedicine. It relies on clinical guidelines, formal medical terminologies, and information communication systems.
Q2. Terminologies used in medical and clinical practice
a. Clinical decision support
This is interactive computer software designed to assist physicians and other health professionals with decision making tasks to determine diagnosis of patient’s data. These support systems are categorized in terms of knowledge base and time.
b.Bar coding/electronic medication administration
This is a control system that uses barcodes in the distribution of prescription medication in hospitals. It makes sure that no human errors occur and the patients get correct doses. It consists of a barcode printer, bar reader, mobile computer, computer server and software. Each medicine is labeled with a special barcode.
c. Physiological signal processing
This is the activity of analyzing the electrical signals generated from the process occurring in living organisms, more importantly the human being. The result is then used in electromyography and electrocardiography.
d. Point of care information
This is a computerized provider to reduce medication error .These errors may be due to prescription.
e. Clinical care pathways
These are tools used to manage the quality in healthcare concerning standardization of care process. They make healthcare to be efficient and well organized.
Telemedicine is a system of health care delivery in which physicians examine distant patients through the use of telecommunication technology.
Q3. Natural language processing technology in health information management
This is a technology that uses computer aided software to accurately interpret the meaning and context of medical terminology in electronic health records. It acts as a link between physicians and the data required in information system to help the patients get correct accurate doses.