There is no real explanation why the components of modern electronic medical records haven’t been standardized. In fact, the name hasn’t even been settled on!

Electronic medical records have many AKA’s including:

PMRI – Patient Medical Record Information – US
ICRS – Integrated Care Record Services – UK
CMR – Computerized Medical Record – US, International
CPR – Computer-based Patient Record – US, International
PCR – Patient-carried Patient Record – Germany
PHR – Personal Health Record – International
EMR – Electronic Medical Record – US
DMR – Digital Medical Record – Asia
EPR – Electronic Patient Record
EHR – Electronic Health Record
LHII – Local Health Information Infrastructure – US
CCR – Continuity of Care Record

With a substantial upfront cost, both of money and training, the fear of having to change EMR systems due to government regulation is certainly reasonable.

EMR Implementation Summary

Doctors may soon have little choice but to implement computerized medical billing and patient record systems. HIPAA’s scope recently expanded to health care providers with less than $5 million in revenue. Insurance companies and other payers are increasingly requiring electronic filing. Even patients recognize the value of electronic medical records with a 2005 survey stating patients strongly believed widespread use of EMRs would decrease wait time, paperwork and reduce visit costs. Let’s hope small practice
physicians take note.

References:
http://www.acgroup.org/images/2005_ACG_Mid-Year_White_Paper_-_EMR_Marketplace.pdf
http://square.umin.ac.jp/DMIESemi/y2004/20040913_2.pdf
http://www.healthcareitnews.com/story.cms?id=3355

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