[The electronic health record: computerised provider order entry and the electronic instruction document as new functionalities]

Ned Tijdschr Geneeskd. 2013;157(34):A5695.
[Article in Dutch]

Abstract

An electronic health record (EHR) should provide 4 key functionalities: (a) documenting patient data; (b) facilitating computerised provider order entry; (c) displaying the results of diagnostic research; and (d) providing support for healthcare providers in the clinical decision-making process.- Computerised provider order entry into the EHR enables the electronic receipt and transfer of orders to ancillary departments, which can take the place of handwritten orders.- By classifying the computer provider order entries according to disorders, digital care pathways can be created. Such care pathways could result in faster and improved diagnostics.- Communicating by means of an electronic instruction document that is linked to a computerised provider order entry facilitates the provision of healthcare in a safer, more efficient and auditable manner.- The implementation of a full-scale EHR has been delayed as a result of economic, technical and legal barriers, as well as some resistance by physicians.

Publication types

  • Review

MeSH terms

  • Costs and Cost Analysis
  • Decision Support Systems, Clinical / instrumentation
  • Decision Support Systems, Clinical / organization & administration*
  • Efficiency, Organizational*
  • Electronic Health Records* / economics
  • Electronic Health Records* / organization & administration
  • Humans
  • Netherlands
  • Quality of Health Care*