Electronic Medical Record

Preferred Label : Electronic Medical Record;

NCIt synonyms : Computer Based Patient Record; EMR;

NCIt related terms : EMR (electronic medical record);

CISMeF acronym : EMR; EHR;

NCIt definition : An automated, on-line medical record containing clinical and demographic information about a patient that is available to providers, ancillary service departments, pharmacies, and others involved in patient treatment or care.;

Alternative definition : CDISC-GLOSS: An electronic record for healthcare providers within one healthcare organization to create, store, and use clinical information for patient care. An electronic record derived from a computerized system used primarily for delivering patient care in a clinical setting. NOTE: EMRs (or EHRs) may serve as source documents, and such data could serve also as source data for clinical trials provided that the controls on the EMR system and the transfer of such data to the eClinical trial system were to fulfill regulatory requirements (e.g., 21 CFR 11). [After Guidance for Industry, Use of Electronic Health Record Data in Clinical Investigations, July 2018]; NCI-GLOSS: A collection of a patient's medical information in a digital (electronic) form that can be viewed on a computer and easily shared by people taking care of the patient.;

Codes from synonyms : CDR0000561399;

Details

Origin ID

C45259;

UMLS CUI

C2362543;

Automatic exact mappings (from CISMeF team)
- Contact with health services for preimplantation genetic diagnosis [ICD-11 More detail]
- Electronic medical record [DHI System Category]
- Manage client’s structured clinical records [DHI Digital Functionality]
- health information management [Q-code]
- health records, personal [MeSH Descriptor]
- medical records systems, computerized [MeSH Descriptor]
- medical records systems, computerized [EFMI term]
- preimplantation diagnosis [MeSH Descriptor]
- prostheses and implants [MeSH Descriptor]
CISMeF manual mappings
- electronic health records [EFMI term]
Semantic type(s)
- Intellectual Product [UMLS semantic type]
UMLS correspondences (same concept)
- Computer record of patient (record artifact) [SNOMED CT concept]
- Electronic health record [LOINC System]
- electronic health records [EFMI term]
- electronic health records [MeSH concept]
- electronic health records [MeSH Descriptor]
concept_is_in_subset
- CDISC Glossary Terminology [NCIt concept]
- Clinical Data Interchange Standards Consortium Terminology [NCIt concept]

Keyword's position in hierarchy(ies) :

Main resources

You can consult :

recommendations
documents concerning education
documents for patients