Physician office survey:
The survey can be used to define two levels of electronic health record: basic and full, which are defined by the functionalities below.
|
|
Basic
|
Full
|
|
Health Information & Data
|
|
Patient demographics
|
X
|
X
|
|
Problem list
|
X
|
X
|
|
Current medications
|
X
|
X
|
|
Clinical notes
|
X
|
X
|
|
Medical hx & follow up
|
|
X
|
|
Order Entry Management
|
|
Rx orders
|
X
|
X
|
|
Lab orders
|
|
X
|
|
Radiology orders
|
|
X
|
|
Rx sent electronically
|
|
X
|
|
Orders sent electronically
|
|
X
|
|
Results Management
|
|
View lab results
|
X
|
X
|
|
View imaging results
|
X
|
X
|
|
Images returned
|
|
X
|
|
Clinical Decision Support
|
|
Drug warnings
|
|
X
|
|
Out of range levels highlighted
|
|
X
|
|
Clinical reminders
|
|
X
|
|
Population Health Management
|
|
Public health reporting
|
|
|
|
Notification of diseases
|
|
|
Hospital Survey:
The survey can be used to define two levels of electronic health record: basic and full, which are defined by the functionalities below.
|
|
Basic
|
Full
|
|
Electronic Clinical Information
|
|
Patient demographics
|
X
|
X
|
|
Physician notes
|
X
|
X
|
|
Nursing assessments
|
X
|
X
|
|
Problem lists
|
X
|
X
|
|
Medication lists
|
X
|
X
|
|
Discharge summaries
|
X
|
X
|
|
Advance directives
|
|
X
|
|
Computerized Provider Order Entry
|
|
Lab reports
|
|
X
|
|
Radiology tests
|
|
X
|
|
Medications
|
X
|
X
|
|
Consultation requests
|
|
X
|
|
Nursing orders
|
|
X
|
|
Results Management
|
|
View lab reports
|
X
|
X
|
|
View radiology reports
|
X
|
X
|
|
View radiology images
|
|
X
|
|
View diagnostic test results
|
|
X
|
|
View diagnostic test images
|
|
X
|
|
View consultant report
|
|
X
|
|
Decision Support
|
|
Clinical guidelines
|
|
X
|
|
Clinical reminders
|
|
X
|
|
Drug allergy results
|
|
X
|
|
Drug-drug interactions
|
|
X
|
|
Drug-lab interactions
|
|
X
|
|
Drug dosing support
|
|
X
|
References:
http://content.nejm.org/cgi/content/abstract/359/1/50 
http://www.rwjf.org/pr/product.jsp?id=31831
2010/03/30
