| Definition of Electronic Medical Record |
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When describing an electronic medical or patient records system, different associations, vendors, and institutions use varying terminology and definitions. Some organizations make a clear delineation between the definitions, whereas others use terminology interchangeably. According to the Medical Records Institute (MRI), the EMR is an upgraded version of the computerized medical record that has essentially the same structure, scope, and information as the paper-based record. However, the information is rearranged for computer use. In addition, MRI believes an EMR system should be capable of appropriately capturing, processing, and storing information and be interoperable with other related systems such as billing and administration. The term computer-based patient record (CPR) is often used interchangeably with the term electronic patient record. Its focus is on a patient's longitudinal health data, compiled across a lifetime. A CPR is defined by the Computer-based Patient Record Institute (CPRI) as follows: "A CPR is electronically maintained information about an individual's lifetime health status and health care. The computer-based patient record replaces the paper medical record as the primary source of information for health care meeting all clinical, legal and administrative requirements. It is seen as a virtual compilation of non-redundant health data about a person across a lifetime, including facts, observations, interpretations, plans, actions and outcomes. The CPR is supported by a system that captures, stores, processes, communicates, secures and presents information from multiple disparate locations as required."
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