Lucas Henrique Moreira
Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
ABSTRACT
An Electronic Health Record (EHR) is an automated representation of a patient's medical history that healthcare workers record over time. It may encompass all the critical managerial clinical data pertinent to that person's care with a specific provider, such as demographics, progress records, difficulties, prescriptions, vital signs, past medical history, immunizations, laboratory results, and radiological reports. The EHR modernises access to information and has the potential to improve clinical workflow. The EHR can also assist with other care-related duties, either directly or indirectly, through various mechanisms, such as evidence-based decision support, quality monitoring, and reporting. EHRs represent the next phase in the evolution of healthcare, with the potential to enhance patient-clinician interactions and improve patient care. The data, its suitability, and availability will enable clinicians to make more informed decisions and provide more effective therapy. For example, an EHR can enhance patient care by increasing the accuracy and clarity of medical records, thereby reducing errors and improving overall patient outcomes. Second, improve access to health information, eliminate test repetition and treatment interruptions, and empower patients to make informed choices. Third, the accuracy and clarity of medical records should be improved to reduce errors.
Keywords: Adoption (AA), Electronic Health (EH), Pathology (PP), Challenges (CC), Opportunities (OO).