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Clinical System Definitions

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What is the difference between an EMR, EPR and EHR?

An Electronic Medical Record (EMR) is an individual’s medical record in digital format used within primary and specialist care and may be customized to the clinic’s requirements. An EMR can be described as a provider-centric or health organization-centric health record of a person, where personal health information can be entered (e.g. doctor’s orders) into the EMR by authorized health care providers.

An Electronic Patient Record (EPR) is a facility-based (Acute or Long Term Care) record containing detailed patient health information including identification, allergies and test results that can be used facility-wide for the person’s care, and may contain one or more sections or ‘modules’. An EPR can be described as a provider-centric or health organization-centric health record of a person, where personal health information can be entered (e.g. doctor’s orders) into the EPR by authorized health care providers.

The electronic patient record (EPR) is made up of various modules, such as:

  • Provincial ADT system
  • Computerized physician order entry (CPOE), results viewing
  • Emergency department information system (EDIS)
  • Scheduling
  • Clinical documentation

An Electronic Health Record (EHR) is a secure and private lifetime record of a person’s key health history, available to be viewed electronically by authorized health care providers at the right time at authorized sites in support of patient care. An EHR is not a detailed record of every health-care episode, and is often search and view only. An EHR is a person-centric health record (versus a health-care provider-centric record). EChart Manitoba is our provincial EHR.

eChart Manitoba and EMR and EPR Video

eChart Manitoba EHR

What is the Community ADT Project?

Seven Oaks, Grace Hospital, Concordia Hospital, Health Sciences Centre, Misericordia Health Centre and St. Boniface Hospital sites will use a single admission, discharge, transfer (ADT) system by 2014 as part of an initiative to standardize ADT systems in the Winnipeg Health Region. The ADT is a computerized information system that is used to admit, discharge and transfer patients.

The provincial ADT system is based on the current standard at St. Boniface Hospital (SBH), and is a building block of the electronic patient record (EPR).