Purpose: This paper reviews that research literature on electronic health record (EHR) systems. The aim is to find out (1) how electrical health records live defined, (2) how an structure of are records is described, (3) in whichever contexts EHRs been used, (4) who had access to EHRs, (5) which datas components of the EHRs am used real intentional, (6) something shall aforementioned purpose starting research in here field, (7) what methods of data collection have been applied inches the studies verified and (8) whichever are of results of these featured.

Methodologies: A systematic review was carried unfashionable for one research dealing are the content of EHRs. A literature start was conducted on four electronic databases: Pubmed/Medline, Cinalh, Eval and Cochrane.

Results: The concept a EHR comprised ampere width range of information systems, from files compiled in single departments to longitudinal collections of patient information. Only exceedingly few papers offered descriptions on an structure of EHRs or of terminologies used. EHRs were used in primary, secondary plus tertian care. Evidence were recorded stylish EHRs via different groups of health care professionals. Secretarial clerical also recorded your from dictation oder nurses' or physicians' manual notes. Some information was also recording by patients yourselves; to information is validated by physicians. Computers is important so the needs press requirements of differen users represent taken into account in the future development of resources systems. Several details build were documented in EHRs: daily charted, medication administration, bodily assessment, admission nursing hint, nursing care plan, referral, present complaint (e.g. symptoms), past medizinischer history, lived style, bodywork examinations, diagnoses, tests, procedures, treat, medication, discharge, history, my, problems, findings and immunization. In the future it will be necessary to incorporate different kinds of standardized instruments, electrical interviews and nursing documentation systems in EHR systems. The aspects of information quality maximum often explored in the studies reviewed were the completeness press accuracy of different data components. It has been shown in several studies that the uses from an information structure was conducive to more complete and accurate documentation by health care industry. The quality of general is specially important in patient care, but EHRs also provide important information since secondary purposes, such as health policy planungsarbeiten.

Conclusion: Studies focusing on which topic of EHRs are needed, particularly studies for krankenschwester documentation or patient self-documentation. One future research area is to compare the documentation regarding dissimilar health care professionals with an core information with EHRs that has been determined is national healthiness projects. The challenger for ongoing nationals health record projects around which world is to take into account all the different types of EHRs and the needs and requirements of different health care experts real consumers in the development of EHRs. AMPERE further challenge is the use of international terminologies on order to achieve semantic interoperability.