EPR vs. EHR

Technical (archive)
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Hi Sam,

BW: What’s an EPR, what’s in it, and what, if any, information overlap does it have with an associated EHR? You introduce EPR in the first example, but there’s no definition provided and no reference to an external source.

SH: Again, we have had a lot to say about this over the years. In openEHR - it is the EHR - so the boundary is the model itself. There is a real problem in the federated approach with addressing this - but I think openEHR gives a clean approach.

I just want to make sure I’m understanding this correctly. If I understand your response above, you’re saying that EPR and EHR are one and the same. The reason I ask again is that the second example in Appendix A of “Access to Electronic Health Records” seems to imply that they are different in the following sense. It looks like the EPR is a record of a specific transaction and that the EHR is a compliation of EPR’s over time.

Thanks,
Bill

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Hi
The English National Health Service makes an explicit distinction between the "cradle to grave" EHR and the Electronic Patient Record (EPR) which is used to record episodic or periodic healthcare. The EPR is a more generic term and is inclusive of other forms of periodic or episodic health care besides medical care. The proposed ISO definition of the EPR is the same as that of the English NHS except for the addition of the word "episodic".
Regards

Liz Maher
Australia

Bill Walton wrote:

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usually people call the EPR an institution-based episodic record, and
the EHR the virtual patient centred record. If openEHR is used inside a
care institution _and_ at the next level up - then I guess the EPR and
EHR distinction disappears somewhat, which is what I imagine Sam means.

- thomas

Bill Walton wrote: