title: [The electronic health record: computerised provider order entry and the electronic instruction document as new functionalities].
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.
authors: Orbis Medisch Centrum, Sittard-Geleen.
authors: Joep P M
authors: JP
authors: Derikx
authors: Frans L G
authors: FL
authors: Erdkamp
authors: A G M
authors: AG
authors: Hoofwijk
mesh_terms: D003365:Costs and Cost Analysis; D020000:Decision Support Systems, Clinical / Q000295:instrumentation / Q000458:organization & administration*; D017598:Efficiency, Organizational; D057286:Electronic Health Records / Q000191:economics / Q000458:organization & administration; D006801:Humans; D009426:Netherlands; D011787:Quality of Health Care