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What’s the difference between an EHR and an electronic medical record (EMR)?

• An EHR is a longitudinal collection of the electronic health information of a person or population and can serve as an information source for an EMR.
• An EMR is a partial patient record. It is provider- or organization-centric and can serve as an information source for an EHR.

Before you begin integrating your interRAI assessment data into an EHR, you need to answer 6 questions:

1. How would systems (EMR, EHR, etc.) share data and assessment information?
2. What data sharing standard will be used to move the information among systems? Some examples of data sharing standards include
3. Where would the data and assessment information be stored? For example, is the information stored in a centralized repository similar to the in Ontario?
4. Which components of the EHR are available to use in your jurisdiction?
   • Client registry: For client demographics
   • Provider registry: For provider demographics
   • Consent registry: For consent information
   • Drug information system (DIS): For drugs/medication history
   • Panorama/public health surveillance: For immunization history
   • Jurisdictional laboratory information system (JLIS): For laboratory results
   • Shared health record (SHR): For observations/health conditions (e.g., allergies, diagnoses, social behaviours, social history, treatments, procedures)
5. What client demographic data from an EHR can be used to autopopulate an interRAI assessment (e.g., information from the client registry)?
6. What data from interRAI assessments can be used to populate EHR components (e.g., outcome scales such as Pain Scale, Depression Rating Scale)?
    

These tools can support workflow design and help determine business processes.

Single sign-in

Having identity management tools/platforms simplifies access to client information and removes the need for separate login credentials for each system. 

With a single sign-in process, a user logs in once and can access a range of applications through multiple channels without having to log in again during that session.
 

Security and privacy policies

The security and privacy needs for delivering interdisciplinary health care services across and between care settings, organizations and disciplines can be complex. Clearly defined security and privacy policies need to be in place in the areas of

• Accountability for personal health information
• Identifying purposes for the collection, use and disclosure of personal health information
• Consent
• Accuracy of personal health information
• Safeguards for the protection of personal health information
• Individual access to personal health information

More information can be found in Canada ºìÁì½í¹Ï±¨ Infoway’s .
 

Clinical and specification requirements

Online tools such as from Canada ºìÁì½í¹Ï±¨ Infoway are available to help you develop your clinical and specification requirements.

Terminology and classification standards

Terminology and classification standards allow information to be captured, retrieved, aggregated, analyzed and shared across health care settings in a consistent, safe and reliable manner.

• Examples of classification standards include .
• Examples of terminologies include the . 
• Access to terminologies used in Canada is available from .