EHR (Electronic Health Record) vs. EMR (Electronic Medical Record)

What is EHR?

EHR Definition

EHR (electronic health record) is an electronic or digital version of a patient’s traditional paper-based chart and offers a comprehensive view of a patient’s medical history. It includes “all of the key all of the key administrative clinical data relevant to that person’s care under a particular provider, including demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports.”

A key feature of an electronic health record (EHR) is that health information can be created and managed by authorized users in a digital format that can be shared across the entire healthcare ecosystem. This includes patient information including primary care physician, specialists, pharmacies, laboratories, and emergency facilities, among other providers. As such, electronic healthcare records will include health information from all providers involved in a patient’s care.

According to HealthIT.gov, Electronic Health Records (EHRs) "go beyond standard clinical data collected in a provider’s office and are inclusive of a broader view of a patient’s care."

An EHR includes all of the functionality of an EMR, but adds other key elements:

• The ability to securely share information across health care systems, networks, and authorized public health agencies in real time.
• Patient access portal to view, add to, and manage portions of the health record.
• The ability to upload digital images, lab results, and progress notes by all clinicians involves in the patient's care.
• Broad spectrum clinical decision support and medication management.
• Portable across all sites of care, including hospitals, skilled nursing facilities, emergency departments, and outpatient facilities whether in or out of patient's home network.
• The ability to monitor and manage population health and quality of care across broad networks and care delivery organizations.

What you should know about EHR?

• EHRs are a global and all-encompassing view of the patient's health status and care that is useful to anyone treating the patient, including pharmacists, workplace health clinics, and school and public health agencies.

• EHRs facilitate true coordination of care across the entire health care spectrum.

• HIMSS Analytics states that, “The EHR represents the ability to easily share medical information among stakeholders and to have a patient’s information follow him or her through the various modalities of care engaged by that individual.”

• EHRs are designed to be accessed by all people involved in the patients care—including the patients themselves.

• The word “health” covers a lot more territory than the word “medical.” And EHRs go a lot further than EMRs providing significant benefits.

EHR vs EMR : What is the Real Difference Between EMR & EHR?

Both EMR and EHR contain digital version of a paperless chart that collects, tracks, and manages patient information such as demographics, diagnoses and treatment histories, and health benchmarks, and both include features to increase efficiencies and improve quality of care. But there are major differences, too. Perhaps the most significant difference between an EMR and an EHR is that an EMR is designed to replace a paper chart within a specific practice or health care system; the information in an electronic medical record is meant to be used by staff within that practice alone. An electronic health record on the other hand, is designed to be compiled, accessed, and shared by anyone who provides care or treatment for a particular patient or group of individuals. It moves beyond traditional boundaries of practice, health care network, and even geography to provide a complete, longitudinal record of the patient's health to enable more complete coordination of care.

Examples of differences between EHR and EMR

• An EMR records immunization data, but an EHR enables electronic sharing of that information with government, school, or workplace clinicians. 

• A primary care practice can enter the report from a patient's diagnostic imaging study in an EMR, but the radiologist can upload digital images and notes into the patient's EHR. 

• A patient can request that information from the EMR be transmitted to a consulting physician, but multiple authorized providers can view and add information to an EHR, enabling interactive communication and care coordination.

Also, patients have an element of control over information in their EHR that isn't required in an EMR. Meaningful Use explicitly lays out guidelines that allow patients to access, share, and even add to certain portions of their EHR. In reality, secure patient-to-provider and provider-to-provider communication is a hallmark feature of electronic health records.

Which Is Better, an EMR or EHR?

EHRs offer a wealth of advantages to both patients and providers over their EMR counterparts:

• Clinical notes and hospital documentation move with the patient from one care setting to another to ensure continuity of care. 
• Diagnosis and treatment histories, as well as allergy information, are available to emergency medical personnel to inform treatment decisions when the patient is unable to speak for himself. 
• Health reporting and surveillance across multiple care organizations improve public health and population health outcomes. 

In a nutshell, then, EHRs are designed to break down barriers amongall the stakeholders involved in a patient's care. At the same time, EMRs are designed around the workflows and efficiencies of a particular practice or provider. And that's why certification standards and CMS Meaningful Use requirements apply specifically to products designated as electronic health records. These systems are meant to have broader applications than a practice-specific EMR.